Methods of treating neurodegenerative disorders using protease inhibitors

ABSTRACT

Methods of use of compounds and compounds for the treatment of disorders characterized by the cerebral deposition of amyloid are provided. Among the compounds are those of formulae (I), (II) and (III): ##STR1## in which R 1  is preferably 2-methyl propene, 2-butene, norleucine; R 2 , R 4 , and R 8  are each independently methyl or ethyl; R 3  is preferably iso-butyl or phenyl; R 5  is preferably iso-butyl; R 6  is H or methyl; R 7  --(Q) n  is preferably benzyloxycarbonyl or acetyl; Q is preferably --C(O)--; R 8  is preferbly iso-butyl; R A  =--(T) m  --(D) m  --R 1 , is which T is preferably oxygen or carbon, and D is preferably a mono-unsaturated C 3-4  alkenyl being more preferred; and X is an alcohol, particularly a secondary alcohol.

This is a continuation of pending application Ser. No. 08/403,420, filed Mar. 13, 1995, which is a continuation-in-part of pending application Ser. No. 08/369,422, filed Jan. 6, 1995.

FIELD OF THE INVENTION

This invention relates to peptidyl compounds useful for a variety of physiological end-use applications. More specifically, peptide and amino acid analogs that are protease inhibitors are provided. These inhibitors are useful in the treatment of certain diseases, including neurodegenerative diseases characterized by the accumulation of amyloid plaques, and in diseases characterized by degeneration of the neuronal cytoskeleton.

BACKGROUND OF INVENTION

Proteases play a key role in metabolism and in the pathology of numerous disorders. As a consequence, compounds that specifically inhibit protease activity are often therapeutic. For example, renin is an aspartyl protease that cleaves angiotensinogen to angiotensin I. Angiotensin I is hydrolyzed by angiotensin converting enzyme (ACE) to angiotensin II, which is a potent vasoconstrictor and stimulant of aldosterone secretion. Compounds that inhibit the activity of ACE, such as captopril an orally active ACE inhibitor, are therapeutically effective for treating hypertension and congestive heart failure. Renin inhibitors are thought to have similarly beneficial therapeutic activity.

Activated ketone-based inhibitors have found uses as inhibitors of four different classes of proteases, serine proteases, aspartyl proteases, cysteine proteases and metalloproteases, because they exist as hydrates in aqueous media and directly serve as transition state analogs and/or react with a nucleophilic residue (such as the serine hydroxyl or cysteine sulfhydryl) to form a reversible hemiacetal-type intermediate. For example, phenylalkyl ketones are potent and competitive reversible inhibitors of interieukin 1-β converting enzyme (ICE) and thus, are thought to have therapeutic use for treatment of certain chronic inflammatory disease states. The precursor alcohols for these ketones have been reported to have substantially reduced protease activity compared to the corresponding ketone see, e.g., Patel et al. (1988) Tetrahed. Lttrs. 29:4665-4668; Patel et al. (1993) J. Med. Chem. 36:24310-2447!.

Trifluoromethyl ketones are inhibitors of, for example, human leukocyte elastase (HLE), which is a serine protease. This enzyme has been implicated as a pathogenic agent in a variety of disorders, including pulmonary emphysema, rheumatoid arthritis, adult respiratory distress syndrome (ARDS), glomerulonephritis and cystic fibrosis see, e.g., Skiles et al. (1992) J. Med. Chem. 35:641-662; Angelastro et al. (1994) J. Med. Chem. 37:4538-4554!.

Proteases are also implicated in diseases, such as Alzheimer's Disease (AD), that are characterized by the accumulation of amyloid plaques. Amyloidogenic Aβ peptides (Aβ) are the principle component of the amyloid plaques that accumulate intracellularly and extracellularly in the neuritic plaques in the brain in AD. Aβ is a 4.5 kD protein, about 40-42 amino acids long, that is derived from the C-terminus of amyloid precursor protein (APP). APP is a membrane-spanning glycoprotein that, in the normal processing pathway, is cleaved inside the Aβ protein to produce α-sAPP, a secreted form of APP. Formation of α-sAPP precludes formation of Aβ. It has been proposed that Aβ accumulates by virtue of abnormal processing of APP, so that compounds that inhibit the activity of enzymes responsible for Aβ production are being sought see, e.g., Wagner et al. Biotech. Report (1994/1995), pp. 106-107; and Selkoe (1993) TINS 16:403-409!.

Because of proteases are implicated in numerous disorders, there is a need to develop potent and specific inhibitors of these enzymes. Therefore, it is an object herein to provide methods of treating disorders in which protease activity plays a pathological role. It is also an object herein to provide protease inhibitors.

SUMMARY OF THE INVENTION

Methods of inhibiting proteases are provided. The protease inhibitors are peptidyl, peptidyl analog and amino acid analog alcohols, particularly haloalkyl secondary alcohols. These inhibitors include the corresponding alcohols of any peptidyl or peptidyl analog ketones or aldehydes that inhibit proteases in cell-free assays see, EP 0 410 411 A2, which is based on U.S. application Ser. No. 07/385,624, WO 92/20357, which is based on U.S. application Ser. No. 08/704,449, EP 0 364 344 A2, which is based on U.S. application Ser. No. 08/254,7621!. Peptidyl, peptidyl analog and amino acid analog alcohols protease inhibitors that do not correspond to such known ketone or aldehyde inhibitors are also provided herein.

Thus, di- and tri-peptide analogs and amino acid analogs and methods of treating certain disorders, particularly cognitive disorders, but any disorder in which a protease, particularly a serine, cysteine or aspartyl protease, is involved in the pathology, and methods of inhibiting proteases using the compounds are provided. Among the compounds used in the methods are peptidyl or peptidyl analog haloalkyl alcohols, particularly secondary alcohols and fluoro-lower-alkyl alcohols.

In particular, the methods, particularly the methods for treating cognitive disorders involving accumulation of amyloid plaques in the brain tissue, use compounds having formulae: ##STR2## or the hydrates and isosteres, diastereomeric isomers and mixtures thereof, or pharmaceutically acceptable salts thereof.

X has the formula: ##STR3## where A and B are independently selected from among H, halogen, alkyl, heterocycle, arylalkyl, haloalkyl, in which the alkyl groups are straight or branched chains or form a fused ring(s) or preferably a single ring, aryl, particularly halo-substituted aryl, alkylhaloaryl, (CH₂)_(r) CHN₂, CH₂ (CH₂)_(r) OR_(D), CH₂ (CH₂)_(r) OZ_(D), --(CH₂)_(r+1) W, --(CH₂)_(r+1) U in which:

the carbon or heterocyclic ring(s) contain from 3 to about 20 members, preferably 5-7, in the ring(s), which are unsubstituted or are substituted with one or more substituents independently selected from G,

the aryl, cyclic and heterocyclic portions of X can be further substituted with G;

r is 0-5, preferably 0-3, more preferably 0 or 1, most preferably 0;

G is halogen, preferably F, lower alkyl, alkoxy, OH, haloalkyl, preferably CF₃, NO₂, nitrile, S-alkyl, phenyl, and --NRR;

R is H or alkyl, preferably lower alkyl, OH and halo-lower alkyl, particularly CF₃ ; the aryl groups preferably contain from 5-6 members and are unsubstituted or substituted with one or more substituents independently selected from G, which is preferably halogen, more preferably fluoro;

the heterocyclic rings preferably contain one or two heteroatoms and preferably contain 5 or 6 members;

Z_(D) is haloalkyl, in which the alkyl portion is straight or branched, cyclic, or mixtures thereof, the straight or branched chains contain from 1 to about 10, preferably 1-8, more preferably 1-6, most preferably 1-3, carbons in the chain, and the cyclic portions contain from 3 to about 10, preferably 3-7, carbons in the cycle, and the halo portion is preferably fluoro;

U is --OR_(D) or --NR_(D) R_(D) ;

R_(D) is selected from among H, alkyl, preferably lower alkyl, more preferably C₁₋₄ alkyl, phenyl, and phenethyl;

W is --OR_(D), --SR_(D), and --NR_(D) R_(D), or a heterocyclic moiety, such as a thiazolyl, preferably containing 4-6, more preferably 5 or 6 members in the ring, and preferably one or two heteroatoms, selected from O, S, or N, in the ring. Preferably, at least one of A or B is H.

In particular, X is selected from among (CH₂)_(r) CH(OH)halo-substituted alkyl, preferably --CH(OH)C_(k) H.sub.(2k+1-s) F_(s) in which k is 1-6, preferably 1-3, s is 0 to 2k+1; --CH(OH)C₆ H.sub.(5-q) F_(q) in which q is 0 to 5; --(CH₂)_(r) CH(OH)CF₃, --(CH₂)_(r) CH(OH)C₂ F₅, --(CH₂)_(r) CH(OH)H, --(CH₂)_(r) CH(OH)(CH₂)_(r) CHN₂, --(CH₂)_(r) CH(OH)haloalkyl, --(CH₂)_(r) CH(OH)(CH₂)_(r) C(O)U, --(CH₂)_(r) CH(OH)(CH₂)_(r) U, --(CH₂)_(r) CH(OH)CH₂ W and --C(halo)₂ aryl. X is more preferably --CH(OH)CF₃ or --CH(OH)C₂ F₅. In all embodiments, halo is preferably fluoro.

R₁, R₂, R₃, R₄, R₅, R₆, R₇, R₈, R_(A), R_(B), Q and n are selected from among (i), (ii), (iii), (iv), (v), (vi), (vii) or (viii) as follows:

(i) R₁, R₃, R₅, and R_(B), are each independently selected from a side chain of a naturally occurring α-amino acid, H, alkyl, preferably lower (C₁₋₆) alkyl, alkenyl, preferably C₂₋₁₀ alkenyl, alkynyl, preferably C₂₋₆ alkynyl, aryl, aralkyl, aralkenyl, aralkynyl, heteroaryl, heteroaralkyl, heteroaralkenyl, Y-substituted aryl, aralkyl, aralkenyl, aralkynyl, and Z-substituted heteroaryl, heteroaralkyl, heteroaralkenyl, in which Y is selected from halogen, lower alkyl, alkoxy, OH, haloalkyl, preferably CF₃, NO₂, nitrile, S-alkyl, phenyl, and --NRR, R is H or alkyl, preferably lower alkyl, OH and halo-lower alkyl, particularly CF₃, Z is lower alkyl, preferably C₁₋₄ alkyl, or halo lower alkyl, preferably C₁₋₄ haloalkyl, more preferably CF₃ ;

R₂, R₄, R₆, and R₈ are each independently selected from among H and lower alkyl, preferably C₁₋₄ alkyl;

R₇ is selected from among C₁₋₆ alkyl, aryl, alkenyl, 9-fluoroenyl, aralkyl, aralkenyl, aralkynyl the aryl groups are unsubstituted or are substituted with Z;

Q is selected from among --C(O)--, --O--C(O), --S(O)₂ -- and HN--C(O)--;

n is zero or one;

R_(A) is --(T)_(m) --(D)_(m) --R₁ in which T is O or NH, and D is C₁₋₄ alkyl or C₂₋₄ alkene; and m is zero or one; or

(ii) R₁, R₂, R₃, R₄, R₅, R₈ and Y are selected as in (i), (iv) or (v);

V is OH, halogen, lower alkyl, preferably methyl or ethyl or halogen-substituted lower alkyl, preferably methyl or ethyl, and is preferably preferably OH;

n is zero; and

R₆ and R₇ are each independently selected as follows:

(a) from lower alkyl, preferably C₁₋₃ alkyl, or lower alkyl linked to a heteroatom, preferably C₁₋₃ alkyl, with the proviso that there is at least one carbon atom between the N to which R₆ and R₇ are each is attached and the heteroatom; and

(b) R₆ and R₇ are unsubstituted or substituted with one or more substituents selected from Y or preferably V, which is selected from OH, halogen, lower alkyl, preferably methyl or ethyl, or halogen-substituted lower alkyl, preferably methyl or ethyl, and is more preferably OH; and

(c) together with the atoms to which each is attached form a heterocyclic moiety, preferably a 5-6 atomed heterocyclic moiety, more preferably selected from among morpholino, thiomorpholino, pyrrolidinyl, or V-substituted pyrrolidinyl, particularly 4-hydroxy pyrrolidinyl; or

(iii) R₁, R₂, R₃, R₄, R₅, R₈, R_(A), R_(B) are selected as in (i);

V is as defined in (ii);

Q is C(O);

n is one; and

R₆ and R₇ are each independently selected as follows:

(a) from carbonyl (C═O), phenyl, a heteroatom, lower alkyl, preferably C₁₋₃ alkyl, or lower alkyl linked to a heteroatom, preferably C₁₋₃ alkyl, and

(b) each is unsubstituted or substituted with Y, preferably with V, and

(c) together with the atoms to which they are attached form a cyclic moiety, preferably a 4-6 membered cyclic or 8-12 bicylic moiety, and

(d) and R₆ and R₇ are selected with the proviso that when two or more heteroatoms are present there is a carbon atom between the heteroatoms; and

(e) when the moiety is a heterocycle, it is preferably succinimide, phthalimide or maleimide; or

(iv) R₃, R₄, R₅, R₆, R₇, R_(A), R_(B), Q and n are as defined in any of (i)-(iii) or (v)-(viii),

V is as defined in (ii);

R₈ is H; and

R₁ and R₂ are each independently selected as follows:

(a) from lower alkyl, preferably C₁₋₄ alkyl, or lower alkyl linked to a heteroatom, preferably C₁₋₄ alkyl, or a heteroatom, with the proviso when more than one heteroatom is present, there is at least one carbon atom between each heteroatom, and

(b) R₁ and R₂ are unsubstituted or substituted with Y, preferably with V, and

(c) together with the atoms to which they are attached form a heterocyclic moiety, preferably a 4-6 membered heterocyclic moiety, that is preferably morpholino, thiomorpholino, pyrrolidinyl, or V-substituted pyrrolidinyl, particularly 4-hydroxy pyrrolidinyl; or

(v) R₁, R₂, R₅, R₆, R₇, R₈, Q and n are as defined in any of (i)-(iv) or (vi)-(viii);

V is as defined in (ii);

R₃ and R₄ are each independently selected as follows:

(a) from lower alkyl, preferably C₁₋₄ alkyl, or lower alkyl linked to a heteroatom, preferably C₁₋₄ alkyl, or a heteroatom, with the proviso when more than one heteroatom is present, there is at least one carbon atom between each heteroatom, and

(b) is unsubstituted or substituted with Y, preferably with V, and

(c) together with the atoms to which they are attached form a heterocyclic moiety, preferably a 4-6 membered heterocyclic moiety, that is preferably morpholino, thiomorpholino, pyrrolidinyl, or V-substituted pyrrolidinyl, particularly 4-hydroxy pyrrolidinyl;

(vi) R₁, R₂, R₃, R₄, R₇, R₈, Q and n are as defined in any of (i), (iv) or (v);

V is as defined in (ii);

R₅ and R₆ are each independently selected as follows:

(a) from lower alkyl, preferably C₁₋₄ alkyl, or lower alkyl linked to a heteroatom, preferably C₁₋₄ alkyl, or a heteroatom, with the proviso when more than one heteroatom is present, there is at least one carbon atom between each heteroatom, and

(b) R₅ and R₆ are unsubstituted or substituted with Y, preferably with V, and

(c) together with the atoms to which they are attached form a heterocyclic moiety, preferably a 4-6 membered heterocyclic moiety, that is preferably morpholino, thiomorpholino, pyrrolidinyl, or V-substituted pyrrolidinyl, particularly 4-hydroxy pyrrolidinyl; or

(vii) R₁, R₂, R₃, R₄, R₆ and R₈ are selected as in (i), (iv) or (v);

V is as defined in (ii);

n is zero; and

R₅ and R₇ are each independently selected as follows:

(a) from lower alkyl, preferably C₁₋₄ alkyl, or lower alkyl linked to a heteroatom, preferably C₁₋₄ alkyl, or a heteroatom, with the proviso when more than one heteroatom is present, there is at least one carbon atom between each heteroatom, and

(b) R₅ and R₇ are unsubstituted or substituted with Y, preferably with V, and

(c) together with the atoms to which they are attached form a heterocyclic moiety, preferably a 4-6 membered heterocyclic moiety, that is preferably morpholino, thiomorpholino, pyrrolidinyl, or V-substituted pyrrolidinyl, particularly 4-hydroxy pyrrolidinyl; or

(viii) R₁, R₂, R₃, R₄, R₅, R₈ and Y are selected as in (i), (iv) or (v);

V is as defined in (ii);

R₆ and R₇, which are defined as in (ii), together with the atoms to which each is attached form a bicyclic heterocycle or cyclic moiety, preferably, when n is zero, a reduced isoquinoline, and is preferably 1,2,3,4,tetrahydroisoquinoline.

In all instances, unless specified, the carbon chains, which may be straight or branched or cyclic, contain from 1 to about 12 carbons preferably 1 to 6, and most preferably 4-6 carbons, and the cyclic moieties preferably contain one ring or two fused rings with from 3 to 16 atoms, preferably 4 to 12, with 4 to 6 in each ring, in the ring structures.

The compounds of formulae (I), (II) and (III) are particularly useful for the treatment of neurodegenerative disorders and other disorders involving the accumulation of amyloid plaques.

Unless otherwise stated, the α-amino acids or analogs thereof of the compounds of formulae I-III are preferably in their L-configuration. In their preferred configuration with reference to a particular compound, R₁ is S, R₃ is S, R₅ is R/S, and the chiral centers of X are R/S, R, S or any combination thereof, and are preferably S.

Also, a compound of these formulae may be in free form, e.g., an amphoteric form, or a salt form, e.g., an acid addition or an anionic salt. A compound may be converted to its salt or base form in an art-known manner, one from another. Prepared salts are trifluoracetate, hydrochloride, sodium, potassium or ammonium salts, although the scope of the salts embraced is not limited thereto, the scope being extended to include all of those salts known to be used in the art of chemistry.

Compounds are also provided herein. These compounds may be used in the methods. In certain embodiments, the compounds have formulae (I) or (II), as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid and X is a tertiary or secondary haloalkyl alcohol, R₁ is not the side chain of cyclohexylalanine or cyclohexylglycine.

In other embodiments, when the compounds have formula (III), as defined above, when X is a tertiary or secondary haloalkyl alcohol, then R₁ is the side chain of a non-naturally-occurring α-amino acid and it is not the side chain of cyclohexylalanine or cyclohexylglycine.

In certain other embodiments, the compounds have formulae (I) or (II), as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid, R₁ is not the side chain of cyclohexylalanine or cyclohexylglycine.

In certain other embodiments, the compounds have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a subunit of a non-naturally-occurring amino acid, the side chain of R₁ is of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, unless the compounds are primary alcohols, then the non-naturally-occurring amino acid is other than norleucine or norvaline.

In certain other embodiments, the compounds have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a subunit of a non-naturally-occurring amino acid, the side chain of R₁ is of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, unless the compounds are primary alcohols, then the non-naturally-occurring amino acid is other than norleucine or norvaline.

Thus, in certain other embodiments in which the compounds are primary alcohols, the compounds have formulae (I) or (II), particularly formula I, as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid, it is not the side chain of norleucine or norvaline.

Thus, in certain other embodiments in which the compounds are primary alcohols, the compounds have formulae (I) or (II), particularly formula I, as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid, it is not the side chain of cyclohexylalanine, cyclohexylglycine, norleucine or norvaline.

In other embodiments, the compounds have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a side chain of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, norleucine or norvaline.

In other embodiments, the compounds have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a side chain of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, norleucine, norvaline, citrulline, ornithine, 4-phenyl-2-aminobutyric acid, 1-naphthylalanine, 2-naphthylalanine, sarcosine, 2-indolinecarboxylic acid, β-alanine, β-valine, N-6-acetyllysine, O-4'-methyltyrosine, a substituted alanine and guanidinophenylalanine.

In certain other embodiments, the compounds have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): at least one of the amino acid residues in the resulting di-peptide or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅, preferably R₁, is a side chain of a non-naturally-occurring amino acid, R₁ is not cyclohexylalanine, and the at least one non-naturally occurring amino acid (or side chain thereof) is other than norleucine or norvaline, unless the resulting residue is a halo-substituted alcohol, particularly fluoro-substituted alcohols. Such compounds include, but are not limited to: (2SR)-(3SR)-N-Ac-L-Leu-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide, (2SR)-(3SR)-N-Cbz-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide and N-valeroyl-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide.

In other embodiments, the compounds have formulae (I) or (II) and at least one of R₁, R₃ and R₅, preferably R₁ or R₅, includes at least one unsaturated bond. Thus at least one of R₁, R₃ and R₅ is a straight or branched carbon chain containing at least one unsaturated bond, preferably a double bond, and 2 to 10, preferably 3 to 7, more preferably 4 to 6, carbon atoms in the chain. Such side chains include, but are not limited to substituted and unsubstituted propenes, butenes, pentenes, such as, 2-methyl-propenyl and 2-butenyl, which among the preferred residues.

The compounds provided herein are preferred for use in the methods, particularly the methods of treatment of cognitive disorders.

The compounds herein may be used in methods of identifying and classifying proteolytic enzymes.

Pharmaceutical compositions containing a compound of formulae (I), (II) or (III) are provided. In particular, pharmaceutical compositions formulated for single dosage administration are provided.

Combinations of compositions are also provided. The combinations contain: (A) a composition containing one or more compounds of formula (I), (II) or (III) set forth above; and (B) a composition containing compounds of copending U.S. application Ser. No. 08/369,422, particularly of formula (IV) or (V): ##STR4## or the hydrates and isosteres, diastereomeric isomers and mixtures thereof, or pharmaceutically acceptable salts thereof, wherein:

R₁, R₂, R₃, R₄, R₅, R₆, R₇, R₈, R_(A), R_(B), Q and n are selected from among (i), (ii), (iii), (iv), (v), (vi), (vii) or (viii) as described above, X for the compounds of (B) is an aldehyde or ketone or preferably selected from among --(CH₂)_(r) C(O)H, --(CH₂)_(r) C(O)haloalkyl, --(CH₂)_(r) C(O)(CH₂)_(r) CHN₂, --(CH₂)_(r) C.tbd.N, --C(CH₂)_(r) (O)C(CH₂)_(r) (O)OR_(D), --(CH₂)_(r) C(O)(CH₂)_(r) C(O)NR_(D) R_(D), --(CH₂)_(r) C(OH)(CH₂)_(r) C(O)U, --(CH₂)_(r) C(OH)CH₂ C(O)U, --(CH₂)_(r) C(O)W and --(CH₂)_(r) C(O)CH₂ W; and U, W, and R_(D) are as described above, are also provided.

Methods of inhibiting proteases, particularly serine, cysteine, and aspartyl proteases, particularly intracellular proteases are provided. In particular, the proteases are responsible for cleavage of APP to produce Aβ.

Methods of treatment of diseases in which proteases play a pathological role are provided. Among these diseases are cognitive disorders, hypertension, inflammatory disorders and others. The methods are effected by administering an effective amount of the pharmaceutical compositions.

In particular, methods of treating a patient suffering from a neurodegenerative disease selected from among Alzheimer's disease, cognition deficits, Down's Syndrome, Parkinson's disease, cerebral hemorrhage with amyloidosis, dementia pugilistica, head trauma and any disorder characterized by an accumulation of plaques in the brain, by administering to the patient a therapeutically effective amount of a compound of formulae (I), (II) and (III) or compounds of formulae (I), (II) and (III) in which R₁, R₃, R₅ and R_(B) can all be side chains of naturally-occurring amino acids are provided.

Methods of treating a patient suffering from a disease state characterized by the degeneration of the cytoskeleton arising from a thrombolytic or hemorrhagic stroke by administering a therapeutically effective amount of a compound provided herein are also provided.

Methods of inhibiting proteases and methods of treatment of disorders, particularly neurodegenerative disorders using the combinations in which (A) and (B) are used simultaneously, successively or intermittently are also provided.

Methods of identifying and classifying proteolytic enzymes are also provided. These methods are effected by measuring the activity of an enzyme in the presence and absence of a compound provided and ascertaining whether the enzyme activity is altered.

DETAILED DESCRIPTION AND PREFERRED EMBODIMENTS

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as is commonly understood by one of skill in the art to which this invention belongs. All patents and publications referred to herein are incorporated by reference.

As used herein, the term "alkyl" includes the straight, branched-chain and cyclic manifestations thereof, the number of carbons atoms is generally specified. Where not specified the alkyl groups preferably contain from about 1 up to about 10 or 12, more preferably 1 to 6 or 7, and most preferably 4 to 6 carbons. Exemplary of such moieties are methyl, ethyl, propyl, cyclopropyl, isopropyl, n-butyl, t-butyl, sec-butyl, cyclobutyl, pentyl, cyclopentyl, n-hexyl, n-nonal, n-decyl, cyclohexyl, cyclohexylmethyl, cyclohexylethyl, and the like. Lower alkyl refers to alkyl groups containing six or fewer carbon atoms.

As used herein, heteroatoms are selected from O, N or S.

The term "aryl" within the definitions of X, R₁, R₃, R₅, and R₇ includes carbocyclic and heterocyclic moieties. Preferred aralkyl and aryl moieties are phenyl, benzyl, phenethyl, 1- and 2-naphthylmethyl, 1- and 2-naphthyl, 2-, 3-, 4-pyridyl, 2- and 3-furyl, 1- and 2-indenyl, 1- and 2-thiophenyl, imidazolyl, indolyl, 2- and 3-thienyl, indole-3-ethyl and the residue of 1,2,3,4,tetrahydroisoquinoline. Other carbocycles are such fused moieties as pentalenyl, indenyl, naphthaleneyl, naphthylmethyl, azulenyl, heptalenyl, acenaphthylenyl, 9-fluorenyl, phenalenyl, phenanthrenyl, anthracenyl, triphenylenyl, pyrenyl, chryrsenyl, and naphthacenyl. Exemplary of alkynyl is propynyl. Exemplary of alkenyl moieties are 2-methyl-2-propenyl, 2-methyl-1-propenyl, propenyl, 1-butenyl, 2-butenyl, 3-butenyl, 2,2-difluoroethenyl, as well as those straight and branched chained moieties having up to two double bonds. Cyclic carbon moieties preferably contain one or two fused rings typically from 3 up to about 16, preferably 4 up to about 12 carbons.

Haloalkyl embraces such moieties as --CF₃, --CF₂ CF₃, --CF₂ H, --CFH₂, CH₂ Cl and CH₂ Br and other halo substituted lower alkyls. Exemplary of aryloxyalkenyl and aryloxyalkynyl moieties of R_(A) are phenoxymethyl, CF₃ -substituted phenoxymethyl, benzyloxymethyl, phenoxybutyl-2-ene, 1-phenyl-1-propene, CF₃ -phenoxybutyr-2-ene, CF₃ -benzyloxymethyl, these moieties are preferred when R_(A) is other than R₁.

In those instances in which a substituent, such as the R₁, R₃, and/or R₅ moiety, embrace the residue--or side chain--of a naturally occurring α-amino acid, it is to be noted that each α-amino acid has a characteristic "R-group," the R-group being the residue -or side chain- attached to the α-carbon atom of the amino acid. For example, the residue of glycine is H, for alanine it is methyl, for valine it is isopropyl. The specific residues of the naturally occurring α-amino acids are well known to those of skill in this art see, e.g., A. L. Lehninger, Biochemistry: The Molecular Basis of Cell Structure and Function, 1970 (or any edition thereafter), Worth Publishers, NY, see, particularly Chapter 4).

As used herein, the residues of naturally occurring α-amino acids are the residues of those 20 α-amino acids found in nature which are incorporated into protein by the specific recognition of the charged tRNA molecule with its cognate mRNA codon in humans.

As used herein, the moieties in the peptide analogs provided herein are designated according to the system of nomenclature in which the binding region of a proteinase is considered as a series of subsites, S, along the surface of the enzyme see, Schecter and Berger (Biochem. Biophys. Res. Comm., 27, 157-162 (1967)!. Each subsite binds an individual peptide residue, P. This system of nomenclature was originally designed for papain, but has been adapted to other proteases. Thus, for convenience and in keeping with the customary peptide designations, the moiety bearing the R₁ side chain (or residue) is designated as the P₁ moiety, the moiety bearing the R₃ side chain (or residue) is designated as the P₂ moiety, and that bearing the R₅ moiety is designated as the P₃ moiety.

The N-terminal capping moieties represented by the R₇ --(Q)_(n) -- and (R₈)--CH(R_(A))--(Q)_(n) -- include those moieties that protect molecules from degradation by aminopeptidases and include, but are not limited to, such generic groupings as arylcarbonyl, alkylcarbonyl, alkoxycarbonyl, aryloxycarbonyl, aralkyloxycarbonyl, aralkylsulfonyl, alkylsulfonyl, arylsulfonyl, and other equivalently functioning groups known in the art.

As defined particularly for the capping groups herein, either individually or as a part of a larger group, "alkyl" means a linear, cyclic, or branched-chain aliphatic moiety of 1 to 20 carbon atoms; "aryl" means an aromatic moiety, e.g., phenyl, of 6 to 18 carbon atoms, unsubstituted or substituted with one or more alkyl, substituted alkyl, nitro, alkoxy, or halo groups; "substituted alkyl" means an alkyl group having a substituent containing a heteroatom or heteroatoms such as N, O, or S; "halo" means Cl or Br; and "alkaryl" means an aryl moiety of 6 to 19 carbon atoms having an aliphatic substituent, and, optionally, other substituents such as one or more alkyl, substituted alkyl, alkoxy or amino groups.

Examples of suitable N-terminal blocking groups include, but are not limited to, formyl, t-butyloxycarbonyl, isopropyloxycarbonyl, allyloxycarbonyl, acetyl, trifluoracetyl, methyl, ethyl, benzyl, benzoyl, acetoacetyl, chloroacetyl, succinyl, phthaloxy, phenoxycarbonyl, methoxysuccinyl, p-methoxybenzenesulfonyl, p-toluenesulfonyl, isovaleroyl, methanesulfonyl, benzyloxycarbonyl, substituted benzyloxycarbonyl, adipyl, suberyl, thalamido-, morpholino-, azelayl, dansyl, tosyl, 2,4-dinitrophenyl, fluorenylmethoxycarbonyl, methoxyazelayl, methoxyadipyl, methoxysuberyl, 1-adamantanesulfonyl, 1-adamantaneacetyl, 2-carbobenzoyl, phenylacetyl, t-butylacetyl, bis (1-methyl)methyl!acetyl, and thioproline.

As used herein, an effective amount of a compound for treating a disorder is an amount that is sufficient to ameliorate, or in some manner reduce a symptom or stop or reverse progression of a condition. Such amount may be administered as a single dosage or may be administered according to a regimen, whereby it is effective.

As used herein, treatment means any manner in which the symptoms or pathology of a condition, disorder or disease are ameliorated or otherwise beneficially altered. Treatment also encompasses any pharmaceutical use of the compositions herein.

As used herein, amelioration of the symptoms of a particular disorder by administration of a particular pharmaceutical composition refers to any lessening, whether permanent or temporary, lasting or transient that can be attributed to or associated with administration of the composition.

As used herein, substantially pure means sufficiently homogeneous to appear free of readily detectable impurities as determined by standard methods of analysis, such as thin layer chromatography TLC!, gel electrophoresis and high performance liquid chromatography HPLC!, used by those of skill in the art to assess such purity, or sufficiently pure such that further purification would not detectably alter the physical and chemical properties, such as enzymatic and biological activities, of the substance. Methods for purification of the compounds to produce substantially chemically pure compounds are known to those of skill in the art. A substantially chemically pure compound may, however, be a mixture of stereoisomers. In such instances, further purification might increase the specific activity of the compound.

As used herein, biological activity refers to the in vivo activities of a compound or physiological responses that result upon in vivo administration of a compound, composition or other mixture. Biological activity, thus, encompasses therapeutic effects and pharmaceutical activity of such compounds, compositions and mixtures.

As used herein, pharmaceutical activity refers to the activity of the compounds herein to treat a disorder.

As used herein, the IC₅₀ refers to an amount, concentration or dosage of a particular compound that achieves a 50% inhibition of a maximal response.

As used herein, EC₅₀ refers to a dosage, concentration or amount of a particular test compound that elicits a dose-dependent response at 50% of maximal expression of a particular response that is induced, provoked or potentiated by the particular test compound.

As used herein, a prodrug is a compound that, upon in vivo administration, is metabolized or otherwise converted to the biologically, pharmaceutically or therapeutically active form of the compound. To produce a prodrug, the pharmaceutically active compound is modified such that the active compound will be regenerated by metabolic processes. The prodrug may be designed to alter the metabolic stability or the transport characteristics of a drug, to mask side effects or toxicity, to improve the flavor of a drug or to alter other characteristics or properties of a drug. By virtue of knowledge of pharmacodynamic processes and drug metabolism in vivo, once a pharmaceutically active compound is identified, those of skill in the pharmaceutical art generally can design prodrugs of the compound see, e.g., Nogrady (1985) Medicinal Chemistry A Biochemical Approach, Oxford University Press, New York, pages 388-392!.

As used herein, amyloid precursor protein (APP) is the progenitor of deposited amyloidogenic Aβ peptides (Aβ) found in the senile plaques in patients with diseases, such as Alzheimer's disease (AD), that are characterized by such deposition. α-sAPP is an alternative cleavage product of APP; its formation precludes formation of Aβ.

As used herein, Cha is cyclohexylalanine, and Chg is cyclohexylglycine.

As used herein, the abbreviations for any substituent groups, protective groups, amino acids and other compounds, are, unless indicated otherwise, in accord with their common usage, recognized abbreviations, or the IUPAC-IUB Commission on Biochemical Nomenclature see, (1972) Biochem. 11:1726!. Some exemplary abbreviations include: BOC is benzyloxycarbonyl; BOP is benzotriazol-1-yloxytris(dimethylamino) phosphonium hexafluorophosphate; DCC is dicyclohexylcarbodiimide; DDZ is dimethoxydimethylbenzyloxy; DMT is dimethoxytrityly; FMOC is fluorenylmethyloxycarbonyl; and TFA is trifluoroacetic acid.

A. The Tri- and Dipeptide Analogs and Amino Acid Analogs

Compounds of formulae (I), (II) and (III): ##STR5## or the hydrates and isosteres, diastereomeric isomers and mixtures thereof, or pharmaceutically acceptable salts thereof, in which X is selected as described above; and R₁, R₂, R₃, R₄, R₅, R₆, R₇, R₈, R_(A), R_(B) Q and n are selected from among (i), (ii), (iii), (iv), (v), (vi), (vii) or (viii) as described above, but with the proviso that, when the compounds have formula (I) or (II): (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid and X is a tertiary or secondary haloalkyl alcohol, R₁ is not the side chain of cyclohexylalanine or cyclohexylglycine.

In other embodiments, when the compounds have formula (III), as defined above, when X is a tertiary or secondary haloalkyl alcohol, then R₁ is the side chain of a non-naturally-occurring α-amino acid and it is not the side chain of cyclohexylalanine or cyclohexylglycine.

In certain other embodiments, the compounds have formulae (I) or (II), as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid, R₁ is not the side chain of cyclohexylalanine or cyclohexylglycine.

In certain other embodiments, the compounds have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a subunit of a non-naturally-occurring amino acid, the side chain of R₁ is of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, unless the compounds are primary alcohols, then the non-naturally-occurring amino acid is other than norleucine or norvaline.

In certain other embodiments, the compounds have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a subunit of a non-naturally-occurring amino acid, the side chain of R₁ is of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, unless the compounds are primary alcohols, then the non-naturally-occurring amino acid is other than norleucine or norvaline.

Thus, in certain other embodiments in which the compounds are primary alcohols, the compounds have formulae (I) or (II), particularly formula I, as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid, it is not the side chain of norleucine or norvaline.

Thus, in certain other embodiments in which the compounds are primary alcohols, the compounds have formulae (I) or (II), particularly formula I, as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid, it is not the side chain of cyclohexylalanine, cyclohexylglycine, norleucine or norvaline.

In other embodiments, the compounds have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a side chain of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, norleucine or norvaline.

In other embodiments, the compounds have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a side chain of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, norleucine, norvaline, citrulline, ornithine, 4-phenyl-2-aminobutyric acid, 1-naphthylalanine, 2-naphthylalanine, sarcosine, 2-indolinecarboxylic acid, β-alanine, β-valine, N-6-acetyllysine, O-4'-methyltyrosine, a substituted alanine and guanidino-phenylalanine.

In certain other embodiments, the compounds have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): at least one of the amino acid residues in the resulting di-peptide or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅, preferably R₁, is a side chain of a non-naturally-occurring amino acid, R₁ is not cyclohexylalanine, and the at least one non-naturally occurring amino acid (or side chain thereof) is other than norleucine or norvaline, unless the resulting residue is a halo-substituted alcohol, particularly fluoro-substituted alcohols. Such compounds include, but are not limited to: (2SR)-(3SR)-N-Ac-L-Leu-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide, (2SR)-(3SR)-N-Cbz-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide and N-valeroyl-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide.

In other embodiments, the compounds have formulae (I) or (II) and at least one of R₁, R₃ and R₅, preferably R₁ or R₅, includes at least one unsaturated bond. Thus at least one of R₁, R₃ and R₅ is a straight or branched carbon chain containing at least one unsaturated bond, preferably a double bond, and 2 to 10, preferably 3 to 7, more preferably 4 to 6, carbon atoms in the chain. Such side chains include, but are not limited to substituted and unsubstituted propenes, butenes, pentenes, such as, 2-methyl-propenyl and 2-butenyl, which among the preferred residues.

Preferred among these compounds, subject to or defined with any of the provisos, are those in which:

R₁ is preferably H or a straight or branched chain carbon chain containing 2 to 6 carbons and one unsaturated, preferably a double bond, or is cyclic moiety containing from 5 to 6 members, and is more preferably methyl, 2-methyl propene, 2-butene, cyclohexyl, lower alkyl-substituted cyclohexyl or cyclohexylmethyl, hydroxyphenyl, isopropyl, toluyl, t-butyl, isobutyl, n-butyl, 1-aminobutyl, methylethylthioether and is more preferably n-butyl, toluyl, isobutyl or cyclohexylmethyl;

R₂, R₄ and R₈ are each independently selected from among H or C₁₋₄ alkyl, and more preferably methyl or ethyl;

R₃ is H, C₁₋₄ alkyl, aryl, particularly, phenyl, naphthyl and hydroxyphenyl, 1-aminobutyl, acetamide, and more preferably iso-butyl or phenyl or toluyl;

R₅ is C₁₋₄ alkyl, and more preferably iso-butyl;

R₆ is H or C₁₋₄ alkyl, and more preferably H or methyl;

R₇ --(Q)_(n) is acyl, benzyloxycarbonyl (Cbz), 9-fluorenylmethylcarbonate (Fmoc), Ac, Boc, tosyl, with Cbz, Ac and Fmoc being more preferred, and Cbz and Ac most preferred;

Q is --C(O)--, --S(O)₂ -- and --O--C(O), with --C(O)-- and --O--C(O) being more preferred, and --O--C(O) most preferred;

R_(B) is C₁₋₄ alkyl or C₂₋₄ alkenyl, and more preferably iso-butyl;

R_(A) is --(T)_(m) --(D)_(m) --R₁, in which T is oxygen, carbon, or nitrogen, with oxygen or carbon being more preferred, and D is C₁₋₄ alkyl or C₂₋₄ alkenyl, with a mono-unsaturated C₃₋₄ alkenyl being more preferred; and

X, which is as defined above, is preferably a secondary alcohol, and more preferably least one of A or B is H and the other is haloalkyl, in which the carbon chain is straight branched or cyclic, and is preferably a lower alkyl containing 1-6 carbons, such as CF₃, C₂ F₅.

Also among preferred compounds are those of formulae (I), (II) and (III) in which R_(B) and R_(A) and the atom to which each is attached form (2SR)-N- (2S)-2-benzoxy-4-methylpentanoyl! or (2SR)-N- (2R)- 2-(1'-phenyl-1'-propene)-4-methylpentanoyl or valeroyl.

When R₁, R₃, and R₅ are a side-chain from other than a residue of a naturally occurring α-amino acid, it is preferred that such moiety is a straight or branched carbon chain, preferably containing at least one unsaturated bond, preferably a double bond, and 2 to 10, preferably 4 to 7, more preferably 4-6 carbon atoms in the chain, such as, but not limited to, 2-methyl propene and 2-butene, or is a cylic moiety, preferably containing 4-6 members, more preferably is cyclohexyl or cyclohexylmethyl. The resulting residues including such moieties include, but are not limited to, 2-amino-4-methyl-4-pentenoic acid, 2-amino-4-hexenoic acid, cyclohexylalanine and cyclohexylglycine, with (2S)-2-amino-4-methyl-4-pentenoic acid and (2S)-2-amino-4-hexenoic acid.

When the compounds are used in the methods of treating neurodegenerative diseases and cognitive disorder provided herein, the side chains from norvaline and leucine or from norvaline and norleucine are also preferred.

In particular, preferred compounds are those in which at least one of R₁, R₃, and R₅ is 2-methyl-propene, 2-butene, cyclohexyl or cyclohexylmethyl. More preferred are those in which R₁, R₃, and R₅ are 2-methyl-propene, 2-butene, cyclohexyl or cyclohexylmethyl, and X is --CH(OH)C_(k) H.sub.(2k+1-m) F_(m) C in which k is 1-6, preferably 1-3, m is 0 to 2k+1; --CH(OH)C₆ H.sub.(5-q) F_(q) in which q is 0 to 5, --(CH₂)_(r) C(OH)CF₃, CH(OH)CF₃, CH(OH)CHN₂ and CH(OH)CF₃.

Preferred heterocyclic ring moieties containing R₁ and R₂ and the atoms to which they are attached, when R₈ is H, are morpholino, thiomorpholino, pyrrolidinyl, or V-substituted pyrrolidinyl, particularly 4-hydroxy pyrrolidinyl.

Preferred heterocyclic ring moieties containing R₆ and R₇ and the atoms to which they are attached when (Q)_(n) is a carbonyl group are selected from among succinimide, phthalimide or maleimide, with phthalamide being more preferred.

Preferred heterocyclic ring moieties containing R₆ and R₇ and the atoms to which they are attached when n in (Q)_(n) is zero are morpholino, thiomorpholino, pyrrolidinyl, V-substituted pyrrolidinyl, particularly 4-hydroxy pyrrolidinyl, or 1,2,3,4-tetrahydroisoquinoline.

Preferred moieties, when n is zero, and when R₃ and R₄ or R₅ and R₇ and taken together with the atoms to which they are attached form heterocyclic moieties are morpholino, thiomorpholino, pyrrolidinyl, or V-substituted pyrrolidinyl, particularly 4-hydroxy pyrrolidinyl.

The following are among the preferred compounds provided herein: (2SR)-N-Cbz-L-Leu-L-Leu N- 2-(4-methyl-4-pentenol)!amide, (1SR)-(2S)-N-Cbz-L-Leu-L-Leu N- 2-(thiazole-hexanol)!amide, (2SR)-(3SR)-3-amino-1,1,1-trifluoro-2-heptanol, (2SR)-(3SR)-N-Ac-L-Leu-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide, (2SR)-(3SR)-N-Cbz-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide, (2SR)-(3SR)-N-valeroyl-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide, (SR)-N-Cbz-L-Leu-L-Leu N- 2-(phenylhexanol)!amide, (2SR)-(3S)-N-Cbz-L-Leu N- 3-(1,1,1-trifluoro-2-butanol)!amide, (3SR)-(4S)-N-Cbz-L-Leu-L-Leu N- 4-(ethyl 2,2-difluoro-3-hydroxyoctanoate)!amide, (4S)-(3SR)-N-Cbz-L-Leu-L-Leu N- 4-(1,1,1-trifluoro-2,2-difluoro-3-octanol)!amide, (3SR)-(4S)-N-Cbz-L-Leu-L-Leu N- 4-(1,1,1-trifluoro-2,2-difluoro-3-methyl-3-octanol)!amide, (2SR)-(3SR)-N-Cbz-L-Leu-L-Leu N- 3-(1,1,1-trifluoro-2-methyl-2-heptanol)!amide, (2SR)-(3S)-N-Cbz-L-Leu-L-Leu N- 3-(1-(1'-phenyl-3'(trifluoromethyl)-pyrazoloxy)-2-heptanol)!amide, (2SR)-H-L-Leu N- 2-(ethyl 4-methyl-4-pentenoate)!amide hydrochloride, (2SR)-N- (2S)-2-benzoxy-4-methylpentanoyl!-L-Leu N- 2-(4-methyl-4-pentenol)!amide, (2SR)-(3S)-N-Cbz-L-Leu-Leu N- 3-(2-hydroxy-heptanoic acid)!amide, (2SR)-(3S)-N-Cbz-L-Leu-L-Leu N- 3-(methyl 2-hydroxy-heptanoate)!amide, (2SR)-(3S)-N-Cbz-L-Leu-L-Leu N- 3-(benzyl 2-hydroxy-heptamide)!amide, (3SR)-(4S)-N-Cbz-L-Leu-L-Leu N- 4-(benzyl 3-hydroxy-octamide)!amide, (2SR)-(3S)-N-Cbz-L-Leu-L-Leu N- 3-(1-furfylthio-2-heptanol)!amide, (2SR)-N- (2R)- 2-(1'-phenyl-1'-propene)-4-methylpentanoyl!!-L-Leu-N- 2-(4-methyl-4-pentenol)!amide, (2SR)-N-Ac-L-Leu-L-Leu-N 2-(trans-4-hexanol)!amide, (2SR)-N-Ac-L-Leu-L-Leu N- 2-(4-methyl-4-pentenol)!amide, (2SR)-N-Ac-L-Leu-L-Leu N- 2-(4-methyl-4-pentenol)!amide, N-dansyl-L-Leu-L-Leu-DL-norleucinol, and N-Ac-L-Phe-L-Leu-DL-norleucinol.

Particularly preferred compounds include: (2SR)-(3SR)-N-Ac-L-Leu-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide, (2SR)-(3SR)-N-Cbz-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide and (2SR)-(3SR)-N-valeroyl-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide.

B. Synthesis of the Tri- and Dipeptide Analogs and Amino Acid Analogs

1. Reaction schemes

The following reaction schemes are depicted to illustrate the construction of the peptides provided herein and to illustrate the variety of reactions that may be used to prepare the intermediates from which compounds of formulae (I), (II) and (III) may be prepared. ##STR6##

Reaction Scheme A illustrates the preparation of compounds of formulae (I), (II) and (III) in which the X moiety is a primary alcohol. In effecting the preparations, a standard Fischer esterification of the appropriate amino acid precursors produces the analogous esters (2) that are coupled with the appropriate N-protected P₂ P₃ moieties (3) utilizing 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide (EDC; as its HCl salt) in the presence of hydroxybenzyl triazole hydrate (HOBt) and triethylamine (Et₃ N). The reaction is conducted in CH₂ Cl₂ at room temperature under argon or nitrogen under anhydrous conditions. The resulting compounds (4) are reduced to the desired alcohols using standard reduction conditions, including, but not limited, the use of lithium boro-hydride (LiBH₄) in tetrahydrofuran (THF) at about 0° C. in an inert atmosphere (Ar or N₂) under anhydrous conditions. Analogous dipeptides and N-protected amino acid derivatives are prepared, using substantially the same procedure, but replacing the P₂ P₃ moieties compound 3, Reaction Scheme A, hereinafter A-3! with the appropriate P₂ moiety or N-capping group. As noted above, the moiety bearing the R₁ side chain (or residue) is designated as the P₁ moiety, the moiety bearing the R₃ side chain (or residue) is designated as the P₂ moiety, and that bearing the R₅ moiety is designated as the P₃ moiety.

Reaction Scheme B depicts an exemplary method for the preparation of precursors of reactants, for the preparation of compounds for use in the methods herein, that are amendable to substitutions on the α-carbon atom. The substituents, include, but are not limited to residues of naturally- and non-naturally-occurring α-amino acids. In this scheme, N-(diphenylmethylene)glycine ethyl ester (1) is treated with lithium bis(trimethylsilyl)amide in THF under an inert atmosphere at temperatures of about -78° C., and the in situ generated base is reacted with the appropriate alkyl halide to effect a nucleophilic displacement. The so-alkylated intermediates (2) and (4) are subjected to hydrolysis to produce the amines (3) and (5) that are available for appropriate use in the construction of the desired dipeptides and tripeptides in which R₁, R₃ or R₅ are side chains other than those of naturally occurring α-amino acids. Similarly, this scheme may be used to prepare compounds in which R₂, R₄ and/or R₆ are an alkylated product.

Alternatively, precursor reactants may be prepared following substantially the same procedure described by O'Donnell et al. O'Donnel et al. (1994) Tetrahed. Lttrs. 35:9383-9386!.

Reaction Scheme C illustrates the preparation of the P₁ moiety in which X is C(OH)W. In effecting this preparation, the N-methoxy-N-methylamide derivative (1) is reduced with lithium aluminum hydride under anhydrous conditions in an inert atmosphere at 0° C. to produce the corresponding aldehyde (2). The difluoro-hydroxy esters compounds (2)! are produced by a standard Reformatsky reaction see, e.g., Rathke (1975) Org. React. 22:423-460; and March (1985) Advanced Organic Chemistry, 3d Ed., J. Wiley & Sons! followed by deprotection by hydrolysis with 4N HCl in dioxane to obtain compounds (3). Compounds (3) are coupled to the appropriate P₂ P₃ moieties (compound A-3) to obtain desired tripeptide derivatives (4). Compounds (3) may be coupled with appropriate P₂ moieties, such as (R_(A))CH(R_(B))--C(O)N(R₄)--CH₂ (R₃)C(O)OH), to obtain the desired dipeptides, or with appropriate N-capping moieties to obtain desired N-protected amino acid derivatives.

Reaction Scheme D illustrates the preparation of compounds having a P₁ moiety in which X is C(O)W, as defined above, C₁₋₆ alkyl or aralkyl. In effecting the preparations, the N-methoxy-N-methylamide derivative (1) is treated with a lithiothiazole nucleophile generated in situ to produce a ketothiazole, which is deprotected by hydrolysis with 4N HCl in dioxane to obtain compounds (2). Compounds (2) are then either a) coupled to appropriate P₂ P₃ moieties (A-3) to obtain desired derivatives of compound (3); or b) are coupled to appropriate P₂ moieties, such as, but not limited to, (R_(A))CH(R_(B))--C(O)N(R₄)--CH₂ (R₃)C(O)OH), to obtain the desired dipeptides; or c) are coupled to appropriate N-capping moieties to obtain desired N-protected amino acid derivatives. Subsequent reduction of the ketone using sodium borohydride in methanol affords the desired alcohol (4). The corresponding amino acid analogs and di- and tri-peptide derivatives may be obtained by replacing the lithio derivative of thiazole with litho derivatives of other aryl, aralkyl and alkyl moieties and by following substantially the same procedures.

Reaction Scheme E illustrates the preparation of compounds of formulae (I), (II) and (III) in which the X moiety is a halomethyl alcohol. The reaction is initiated by reacting an R₁ -substituted nitromethane with a trifluoromethyl acetal (2) in N,N-dimethylformamide (DMF) in the presence of potassium carbonate at about 60° C. to yield a 1,1,1-trifluoro-2-hydroxy-3-nitro derivative (3) which are reduced with H₂ in the presence of Raney Nickel to yield the corresponding amines (4). By appropriate coupling to the appropriate dipeptide (A-3), the desired trifluoromethyl alcohols (6) of formula I may be produced. The corresponding dipeptide derivatives of the mono-, di- and tri-fluoromethyl alcohols of formulae (I)-(III) may be produced by selecting the appropriate N-capping group or N-protected amino acid derivative. Furthermore, by use of mono- and di-fluoromethyl analogs of formula (2) and by following substantially the same procedures, corresponding --CH₂ F and --CHF₂ alcohol analogs of formulae (I), (II) or (III) are produced.

Alternatively, compounds (C-1) can be reduced under standard anhydrous conditions, lithium aluminum hydride in THF at about 0° C. under inert atmosphere, affords the corresponding aldehyde. The aldehyde is treated with trifluoromethyltrimethylsilane under inert atmosphere in THF at about 0° C. in the presence of tetrabutylammoniumfluoride see, Krishnamurti et al. (1991) J. Org. Chem 56:984-989!, and then deprotected by hydrolysis with 4N HCl in dioxane to obtain compounds (6). Compounds (6) are then either a) coupled to appropriate P₂ P₃ moieties (A-3) to obtain desired tripeptide derivatives (6); or b) are coupled to appropriate P₂ moieties, such as, but not limited to, (R_(A))CH(R_(B))--C(O)N(R₄)--CH₂ (R₃)C(O)OH), to obtain the desired dipeptides; or c) are coupled to appropriate N-capping moieties to obtain desired N-protected amino acid derivatives.

Reaction Scheme F illustrates the preparation of compounds of formulae (I), (II) and (III) in which the X moiety is pentafluoromethyl alcohol. To effect preparation of these compounds, the N-methoxy-N-methylamide derivatives (1) are treated with pentafluoroethyl lithium, generated in situ, to produce the pentafluoroethyl ketones (2), which are deprotected by hydrolysis with 4N HCl in dioxane to obtain compounds (3). Compounds (3) are either a) coupled to the appropriate P₂ P₃ moieties (A-3) to obtain desired tripeptide derivatives; or b) coupled to appropriate P₂ moieties, such as, but not limited to, (R_(A))CH(R_(B))--C(O)N(R₄)--CH₂ (R₃)C(O)OH) to obtain the desired dipeptides; or c) coupled with appropriate N-capping moieties to obtain the desired N-capped amino acid derivatives. The resulting pentafluoromethyl derivatives are reduced with sodium borohydride in methanol to afford the desired alcohols (4).

Reaction Scheme G illustrates the preparation of compounds of formulae (I), (II) and (III) in which the X moiety is a diazomethane that can be converted to a haloalkyloyl or haloaryloyl alcohol. In this process, the amine-protected amino acid derivatives and peptides or peptide analogs are reacted with isobutyl chloroformate in the presence of 4-methylmorpholine in CH₂ Cl₂ at -78° C. The anhydride derivatives are reacted with diazomethane according to standard procedures known in the art. If desired, the diazoketones may be treated with an appropriate acid (such as, but not limited to HBr), in pyridine to afford compounds (2), which are treated with the appropriate alkyl or aryl alcohol in DMF under alkali conditions to produce the corresponding alkyloyl and aryloyl ketones. The resulting ketones are reduced with sodium borohydride in methanol to produce the desired alcohols. The alcohols are treated with H₂ /Pd(C) in methanol to afford (3). Compounds (3) are then either a) coupled to appropriate P₂ P₃ moieties (A-3) to obtain desired derivatives of compound (3); or b) are coupled to appropriate P₂ moieties, such as, but not limited to, (R_(A))CH(R_(B))--C(O)N(R₄)--CH₂ (R₃)C(O)OH), to obtain the desired dipeptides; or c) are coupled to appropriate N-capping moieties to obtain desired N-protected amino acid derivatives.

Reaction Scheme H illustrates the preparation of compounds in which the X moiety is a fluoro-substituted aryl alcohol. In effecting this scheme, the N-methoxy-N-methylamide derivatives (1) are treated with the appropriate fluoro(1-5)-substituted bromobenzene moiety in N-butyl lithium at -78° C. under anhydrous conditions in an inert atmosphere. This generates fluorobenzene lithium in situ, to produce a fluoro-substituted aromatic ketones (2), which are deprotected by hydrolysis with 4N HCl in dioxane to obtain compounds (3). By coupling compounds (3) to the appropriate P₂ P₃ moieties (A-3), the corresponding fluoro-substituted aromatic ketone tripeptides (4) are produced. The ketone tripeptides are reduced with sodium borohydride in methanol to afford the desired corresponding alcohols (4). Analogous dipeptides and N-protected amino acid derivatives may be prepared using substantially the same procedure, but replacing the P₂ P₃ moieties with the appropriate P₂ moiety or N-capping group.

Reaction Scheme I illustrates the formation of a dipeptide in which R_(B) is aryloxy, aralkoxy or an alkoxy in an enantiomeric pure isomer. The reaction is initiated by a two step process in which: (a) compounds (1) are deaminated by treatment with NaNO₂ in HCl; and (b) the resulting acids are esterified with an alkyl halide in the presence of DMF and cesium carbonate to produce compounds (2). These are treated with a 2,2,2-trichloroacetimate derivatives in the presence of trifluoromethanesulfonic acid in CH₂ Cl₂ to obtain the corresponding ester. The ester moieties are hydrolyzed with lithium hydroxide in peroxide and a methanol-water solvent to produce the enantiomers (3). The isomers are coupled with the appropriate P₂ P₁ moieties as esters; e.g., compounds (A-3)!, and the resulting esters (5) are reduced to the desired alcohols (6).

Reaction Scheme J illustrates the preparation of compounds of formulae (I), (II) and (III) in which X is C(O)CH₂ Y. The N-protected diazoketone derivatives of compound (1) are subjected to an addition reaction with an hydrohalic acid, preferably HCl, in pyridine to produce halomethyl derivatives (2), which are subjected to a nucleophilic displacement reaction using an activated anion of the desired Y moiety, (e.g., Y), to afford compounds (3). Standard hydrogenation reactions remove the N-protecting group followed by the above-described coupling procedures with the desired P₂ P₃ moieties (A-3) to produce compounds (5), which are reduced to the desired alcohols (6). Analogous dipeptides and N-protected amino acid derivatives may be prepared using substantially the same procedure but replacing the P₂ P₃ moieties with the appropriate P₂ moiety or N-capping group.

Reaction Scheme K illustrates the preparation of compounds of formulae (I), (II) and (III) in which X is moieties (a) --CH(OH)--C(O)--NR_(D) R_(D) and (b) CH(OH)--C(O)OR_(D). The process starts by obtaining aldehyde (2) by reducing the N-methoxy-N-methylamide derivative (1), followed by preparation of the cyanohydrin (3), which is hydrolyzed to its free acid (4) using standard and known reaction techniques. Coupling of the appropriate P₂ P₃ moiety (A-3) to the acid (4) is effected by the use of an activated isobutyl chloroformate in the presence of 4-methylmorpholine at -78° C. in an inert atmosphere under anhydrous conditions to afford the acid (5). The acid (5) may be esterified to its corresponding ester or may be coupled with an amine (NR_(D) R_(D)) to produce the desired amide (6). Analogous dipeptides and N-protected amino acid derivatives may be prepared using substantially the same procedure, but replacing the P₂ P₃ moieties with the appropriate P₂ moieties or N-capping groups.

Alternatively, compounds (2) may be transformed to their N-protected (preferably protected by a Boc group) alkyl ester by reaction with ethylacetate in the presence of LDA to produce compounds (8) which are hydrolyzed with 4N HCl in dioxane to remove the protecting group to produce the corresponding β-hydroxy ethyl esters (9). These esters are then coupled with compounds (A-3) and the resulting compounds are hydrolyzed to their β-hydroxy acids or they may be coupled to form their β-hydroxyamides of compounds (11).

Reaction Scheme L illustrates the process by which compounds of formulae (I), (II) and (III) in which R₂, R₄, or R₆ are an R_(D) moiety other than H. This procedure uses standard N-protection, N-alkylation-esterification and de-protection procedures such as those exemplified in the depicted schemes. Although the reaction scheme depicts N-alkylation at the projected P₁ moiety, any of the P₂ and P₃ moieties may be similarly N-alkylated by appropriate selection of the starting materials followed by the coupling procedures required to construct the desired peptides and amino acid derivatives of formulae (I), (II) and (III).

Reaction Scheme M illustrates the process by which compounds of formulae (I), (II) and (III) in which X is a tertiary alcohol, particularly haloalkyl-substituted tertiary alcohols are prepared. Compounds (F-2) see, Scheme F! are converted to tertiary alcohols, such as a pentafluoroethyl-substituted tertiary alcohol, by treatment with an analogous Grignard or lithium derivative by standard procedures known in the art. These compounds are deprotected with 4N HCl in dioxane to produce compounds (2). Compounds (2) are either a) coupled to the appropriate P₂ P₃ moieties (A-3) to obtain desired tripeptide derivatives; or b) coupled to appropriate P₂ moieties, such as, but not limited to, (R_(A))CH(R_(B))--C(O)N(R₄)--CH₂ (R₃)C(O)OH) to obtain the desired dipeptides; or c) coupled with appropriate N-capping moieties to obtain the desired N-capped amino acid derivatives. Using analogous methods, but starting with the trifluoromethyl derivative of (F-2) or other such derivative, the trifluoromethyl or corresponding derivative may be prepared.

Reaction Scheme N illustrates another process by which compounds of formulae (I), (II) and (III) in which X is a tertiary alcohol are prepared. The precursors (E-6) are treated with (BOC)₂ under standard amine-protecting conditions, followed by oxidation with the Dess-Martin reagent of the trifluoromethyl alcohol to give N-BOC trifluoromethyl ketones (1). Reaction of (1) with the appropriate Grignard or lithium derivative affords the tertiary alcohol (2). Deprotection by hydrolysis with 4N HCl in dioxane produces (3). Compounds (3) are either a) coupled to the appropriate P₂ P₃ moieties (A-3) to obtain desired tripeptide derivatives (4); or b) coupled to appropriate P₂ moieties, such as, but not limited to, (R_(A))CH(R_(B))--C(O)N(R₄)--CH₂ (R₃)C(O)OH) to obtain the desired dipeptides; or c) coupled with appropriate N-capping moieties to obtain the desired N-capped amino acid derivatives.

Throughout the above presentation of the methods useful for preparing the compounds herein, particularly as it relates to the foregoing reaction schemes, the full embodiment of the entire scope of the compounds (as defined in formulae (I), (II) and (III)) was not depicted within all of the structures illustrated for each of the reactants and end-products. The state of the art is such that one of skill in the art would be able to extend these specific illustrations to embrace the implied generic teachings by the use of analogy reasoning to prepare the desired compounds embraced within the scope of formulae (I), (II) and (III). For example, one of skill in the art could utilize the final product of Reaction Scheme A in preparing any of the compounds of formulae (I), (II) and (III) bearing the R₁ side chain functionality, which is other than a residue of a naturally occurring α-amino acid. Similarly, in Reaction Scheme D, the preparation of a thiazole derivative is achieved by coupling the N-methoxy-N-methylamide derivative of a precursor for preparing a depicted tripeptide (3). A dipeptide bearing a thiazole derivative could be prepared by the application of the analogy reasoning possessed by a person of skill in the art. Similarly, lithio derivative of another heterocycle in which X is C(O)aryl and the aryl moiety is other than a thiazole embraced within the scope of the compounds herein could be prepared.

Thus, the scope of those compounds that can be prepared by the methods of the foregoing reaction schemes is not limited to the specific compounds depicted but rather to those compounds defined by formulae (I), (II) and (III) using the teachings already available in the art in the of the disclosure herein, including the above-discussion and Examples below.

2. Procedures to effect the reaction schemes

The construction of the tri- and dipeptide analogs and amino acid analogs of Formulae (I), (II) and (III) may be effected using procedures and techniques known in the art and described herein. Many of the necessary starting materials and the reactants utilized are known and may also be commercially available. In those instances in which they are not generally available, they may readily be generated by analogous use of known chemical processes and techniques readily available in the scientific and patent literature or as described herein.

As the reaction schemes depicted herein (Schemes A-N) extensively utilize coupling and oxidation procedures, the following elaborates a variety of the procedures that may be functional alternatives to those specifically mentioned within the depicted schemes. As a preferred oxidation procedure, the Swern oxidation is effected by reacting 2 to 10 equivalents of dimethyl sulfoxide (DMSO) with about 1 to 6 equivalents of trifluoroacetic anhydride (CF₃ CO)₂)! or oxalyl chloride --(COCl)₂ !. The reactants are dissolved in an inert solvent, e.g., methylene chloride (CH₂ Cl₂), the reactor is under an inert atmosphere under anhydrous conditions at temperatures of about -80° C. to -50° C. to form an in situ sulfonium adduct to which is added about 1 equivalent of the alcohols (e.g., A-4). Preferably, the alcohols are dissolved in an inert solvent, e.g., CH₂ Cl₂ or minimum amounts of DMSO, and the reaction mixture is allowed to warm to about -50° C. (for about 10-20 minutes) and then the reaction is completed by adding 3 to 10 equivalents of a tertiary amine, e.g., triethylamine, N-methyl morpholine, etc. Following oxidation, the desired intermediates are isolated and are ready for the next step in the reaction sequence.

A modified Jones oxidation procedure may conveniently be effected by reacting the alcohols with pyridinium dichromate by contacting the reactants in a water-trapping sieve powder, (e.g., a grounded 3 Angstrom molecular sieve) in the presence of glacial acetic acid at about 5° C. to 50° C., preferably at room temperature.

Alternatively, 1 to 5 equivalents of a chromic anhydride-pyridine complex i.e., a Sarett reagent prepared in situ (see, e.g., Fieser and Fieser "Reagents for Organic Synthesis" Vol. 1, pp. 145 and Sarett, et al., J.A.C.S. 25, 422 (1953))! that is prepared in situ in an inert solvent (e.g., CH₂ Cl₂) in an inert atmosphere under anhydrous conditions at about 0° C. to 50° C. to which complex is added 1 equivalent of the alcohols allowing the reactants to interact for about 1 to 15 hours, followed by the isolation of the desired product.

Another alternative process for the converting of alcohols to the desired ketones is an oxidation reaction that employs periodane i.e., 1,1,1-triacetoxy-1,1-dihydro, 1,2-benzoxidol 3-(1-H)-one (see Dess Martin, J. Org. Chem. 48, 4155, (1983))!. This oxidation is effected by contacting 1 equivalent of the alcohols with 1 to 5 equivalents of periodane (preferably 1.5 equivalents) in suspension in an inert solvent (such as, but not limited to CH₂ Cl₂) under an inert atmosphere (preferably nitrogen) under anhydrous conditions at about 0° C. to 50° C. (preferably room temperature), and allowing the reactants to interact for about 1 to 48 hours.

A solid phase sequential coupling procedure can be performed using established methods such as use of an automated peptide synthesizer. In this procedure, an amino protected amino acid is bound to a resin support at its carboxyl terminus, the protected amine is deprotected where the peptide linkage is desired, the amino group neutralized with a base and the next amino protected amino acid in the desired sequence is coupled in a peptide linkage. The deprotection, neutralization and coupling steps are repeated until the desired peptide is synthesized. The compounds provided herein are thus synthesized from their carboxyl terminal end to their amino terminal end. The amino protected amino acid can be a conventional amino acid, a derivative or isomer thereof, or a spacer group. The resin support employed can be any suitable resin conventionally employed in the art for the solid phase preparation of polypeptides. The preferred resin is polystyrene which has been cross-linked with from about 0.5 to about 3% divinyl benzene, which has been either benzhydrylamidated, chloromethylated or hydroxymethylated to provide sites for amide or ester formation with the initially introduced amino protected amino acid.

An example of a hydroxymethyl resin is described by Bodansky et al. Chem. Ind. (London) 38, 1597-98 (1966)!. The preparation of chloromethyl and benzhydrylamine resins are described by Stewart et al. "Solid Phase Peptide Synthesis," 2nd Edition, Pierce Chemical Co., Rockford, Ill. (1984). Chapter 2, pp. 54-55!. Many of these resins are available commercially. In general, the amino protected amino acid which is desired on the carboxyl-terminal end of the peptide is bound to the resin using standard procedures and practices as are well known and appreciated in the art. For example, the amino protected amino acid can be bound to the resin by the procedure of Gisin Helv. Chem. Acta, 56, 1476 (1973)!. When it is desired to use a resin containing a benzhydrylamine moiety as the resin binding site an amino protected amino acid is coupled to the resin through an amide linkage between it α-carboxylic acid and the amino moiety of the resin. The coupling is effected using standard coupling procedures as described below. Many resin-bound amino acids are available commercially.

The α-amino protecting group employed with each amino acid introduced into the polypeptide sequence may be any such protecting group known in the art. Among the classes of amino protecting groups contemplated are: (1) acyl type protecting groups such as formyl, trifluoroacetyl, phthalyl, p-toluenesulfonyl (tosyl), benzenesulfonyl, nitrophenylsulfonyl, tritylsulfonyl, o-nitrophenoxyacetyl, and α-chlorobutryl; (2) aromatic urethane type protecting groups such as benzyloxycarbonyl and substituted benzyloxycarbonyls such as p-chlorobenzyloxycarbonyl, p-methoxybenzyloxycarbonyl, p-nitrobenzyloxycarbonyl, p-bromobenzyloxycarbonyl, 1-(p-biphenylyl)-1-methylethoxycarbonyl, α,α-dimethyl-3,5-dimethoxybenzyloxycarbonyl, and benzhydryloxycarbonyl; (3) aliphatic urethane protecting groups such as t-butyloxycarbonyl (BOC), diisopropylmethoxycarbonyl, isopropyloxycarbonyl, ethoxycarbonyl, and allyloxycarbonyl; (4) cycloalkyl urethane type protecting groups such as cyclopentyloxycarbonyl, adamantyloxycarbonyl, and cyclohexyloxycarbonyl; (5) thiourethane type protecting groups such as phenylthiocarbonyl; (6) alkyl type protecting groups such as triphenylmethyl (trityl) and benzyl (Bn); (7) trialkylsilane protecting groups such as trimethylsilane, 4- -(4-chlorophenyl) sulfonylaminocarbonyl! phenyl carbonyl, and 4- -(4-bromophenyl) sulfonylaminocarbonyl! phenyl carbonyl. The preferred α-amino protecting group is t-butyloxycarbonyl (BOC); its use as an α-amino protecting group for amino acids is well known to those of skill in the art ( see, e.g., by Bodansky et al. in "The Practice of Peptide Synthesis," Springer-Verlag, Berlin (1984), p.20!.

Following the coupling of the amino protected amino acid to the resin support, the α-amino protecting group may be removed using any suitable procedure such as by using trifluoroacetic acid, trifluoroacetic acid in CH₂ Cl₂, or HCl in dioxane. The deprotection is carried out at a temperature of between 0° C. and room temperature. Other standard cleaving reagents may be used for removal of specific amino protecting groups under conditions well known and appreciated in the art.

After removal and neutralization of the α-amino protecting group, the next desired amino-protected amino acid is coupled through a peptide linkage. This deprotection, neutralization and coupling procedure is repeated until a peptide of the desired sequence is obtained. Alternatively, multiple amino acid groups may be coupled by the solution method prior to coupling with the resin supported amino acid sequence.

The selection and use of an appropriate coupling reagent is within the skill of the skilled artisan. Particularly suitable coupling reagents where the amino acid to be added is Gln, Asn, or Arg include N,N-dicyclohexylcarbodiimide and 1-hydroxybenzotriazole. The use of these reagents prevents nitrile and lactam formation. Other coupling agents are (1) other carbodiimides (e.g., N-ethyl-N'-(γ-dimethylaminopropylcarbodiimide); (2) ketenimines; (3) isoxazolium salts (e.g., N-ethyl-5-phenylisoxazolium-3-sulfonate); (4) monocyclic nitrogen-containing heterocyclic amides of aromatic character containing one through four nitrogens in the ring such as imidazolides, pyrazolides, and 1,2,4-triazolides (specific heterocyclic amides that are useful include N,N-carbonyldiimidazole and N,N-carbonyl-di-1,2,4-triazole); (5) alkoxylated acetylene (e.g., ethoxyacetylene); (6) reagents which form a mixed anhydride with the carboxyl moiety of the amino acid (e.g., ethyl chloroformate and iso-butyl chloroformate) or the symmetrical anhydride of the amino acid to be coupled (e.g., BOC-Ala-O-Ala-BOC); (7) nitrogen-containing heterocyclic compounds having a hydroxyl group on one ring nitrogen (such as, but not limited to, N-hydroxyphthalimide, N-hydroxysuccinimide, and 1-hydroxybenzotriazole). Other activating reagents and their use in peptide coupling are described by Kapoor J. Pharm. Sci., 59, 1-27 (1970)!. Use of the symmetrical anhydride as the coupling agent is the generally preferred amino acid coupling method herein.

The preferred coupling method for Gln, Asn and Arg is to react the protected amino acid, or derivatives or isomers thereof, with N,N-dicyclohexylcarbodiimide and 1-hydroxybenzotriazole (1:1) in DMF in the presence of the resin or resin-bound amino acid or peptide. The preferred coupling method for other amino acids involves reacting the protected amino acid, or derivative or isomer thereof, with N,N-dicyclohexylcarbodiimide in CH₂ Cl₂ to form the symmetrical anhydride. The symmetrical anhydride is then introduced into the solid phase reactor containing the resin or resin-bound amino acid or peptide, and the coupling is carried out in a medium of DMF, or CH₂ Cl₂, or DMF: CH₂ Cl₂ (1:1). A medium of DMF is preferred. The success of the coupling reaction at each stage of the synthesis is monitored by a ninhydrin test as described by Kaiser et al. Analyt. Biochem. 34, 595 (1 970)!. In cases where incomplete coupling occurs, the coupling procedure is repeated. If the coupling is still incomplete, the deprotected amine is capped with a suitable capping reagent to prevent its continued synthesis. Suitable capping reagents and the use thereof are well known and appreciated in the art. Examples of suitable capping reagents are acetic anhydride and acetylimidazole as described by Stewart et al. "Solid Phase Peptide Synthesis," 2nd Ed., Pierce Chemical Co., Rockford, Ill. (1984), Chapter 2, p.73!.

After the desired amino acid sequence has been obtained, the peptide is cleaved from the resin. This can be effected by procedures which are well known and appreciated in the art, such as by hydrolysis of the ester or amide linkage to the resin. It is preferred to cleave the peptide from the benzhydrylamine resin with a solution of dimethyl sulfide, p-cresol, thiocresol, or anisole in anhydrous hydrogen fluoride. The cleavage reaction is preferably carried out at temperatures between about 0° C. and about room temperature, and is allowed to continue preferably from between about 5 minutes to about 5 hours.

As is known in the art of solid phase peptide synthesis, many of the amino acids bear side chain functionalities requiring protection during the preparation of the peptide. The selection and use of an appropriate protecting group for these side chain functionalities is within the ability of those skilled in the art and will depend upon the amino acid to be protected and the presence of other protected amino acid residues in the peptide. The selection of such a side chain protection group is critical in that it must not be removed during the deprotection and coupling steps of the synthesis. For example, when BOC is used as the α-amino protecting group, the following side chain protecting groups are suitable: p-toluenesulfonyl (tosyl) moieties can be used to protect the amino side chains of amino acids such as Lys and Arg; p-methylbenzyl, acetamidomethyl, benzyl (Bn), or t-butylsulfonyl moieties can be used to protect the sulfide-containing side chains of amino acids such as cysteine, homocysteine, penicillamine and the like or derivatives thereof; benzyl or cyclohexyl ester moieties can be used to protect carboxylic acid side chains of amino acids such as Asp, Glu; a benzyl ether can be used to protect the hydroxyl-containing side chains of amino acids such as Ser and Thr; and a 2-bromocarbobenzoxy (2Br-Cbz) moiety can be used to protect the hydroxyl-containing side chains of amino acids such as Tyr. These side chain protecting groups are added and removed according to standard practices and procedures well known in the art. It is preferred to deprotect these side chain protecting groups with a solution of anisole in anhydrous hydrogen fluoride (1:10). Typically, deprotection of side chain protecting groups is performed after the peptide chain synthesis is complete but these groups can alternatively be removed at any other appropriate time. It is preferred to deprotect these side chains at the same time as the peptide is cleaved from the resin.

The compounds are then isolated and purified by standard techniques. The desired amino acids, derivatives and isomers thereof can be obtained commercially or can be synthesized according to standard practices and procedures well known in the art.

C. Identification of preferred compounds using assays that identify compounds that modulate processing of amyloid precursor protein (APP) or that modulate other selected processing pathways

Compounds provided herein modulate the processing of proteins, such as amyloid precursor protein (APP), involved in diseases. Particular compounds may be selected for treatment of a particular disorder empirically using in vitro or in vivo animal models, such as those that were used to identify the ketones and aldehyde compounds that correspond to the alcohols provided herein.

For example, among the compounds provided herein are those that modulate processing of APP. This modulation can be demonstrated in a variety of ways. For example, compounds can be evaluated for the ability to modulate generation of Aβ or α-sAPP.

1. In vitro assays

The compounds provided herein yield a positive result in one or more in vitro assays that assess the effects of test compounds on processing of APP. In particular, in vitro assay systems for identifying such compounds are provided herein. These assays evaluate the effects of a test compound on processing of APP and use cultured human glioblastoma cell lines that have been transfected with DNA encoding either a wild-type 695 amino acid isoform of APP or a mutein of APP that contains changes (in this case two or three amino acid changes have been made) that appear to make the molecule more susceptible to proteolytic cleavage that results in increased production of Aβ see, e.g., Mullan et al. (1992) Nature Genet. 1:345-347!.

In performing these assays, a test compound is added to the culture medium and, after a selected period of time, the culture medium and/or cell lysates are analyzed using immunochemical assays to detect the relative amounts of Aβ, total soluble APP (sAPP), a portion of sAPP designated α-sAPP, and C-terminal fragments of APP. In particular, the culture medium and cell lysates are analyzed by immunoblotting coupled with laser scanning densitometry and ELISAs using several different antibodies. A positive test, occurs when: (1) there is a decrease in the ˜4-kDa amyloid β-protein (Aβ) in the medium relative to control cultures (4-kDa assay); and/or (2) the relative amount of sAPP in the medium increases; and/or (3) there is a decrease in the amount of C-terminal amyloidogenic fragments larger than 9 kDa and smaller than 22 kDa in the cell lysate as a result of differential processing; and/or (4) there is an increase in the amount of α-sAPP in the medium relative to control cultures. Control cultures can be cultures that have not been contacted with the compound. The Aβ assay is done using cells (e.g., HGB 717/Swed) that have been transfected with DNA encoding the mutein APP; the other assays are performed using cells, such as HGB695 cells, that have been transfected with DNA encoding a wild-type APP.

Preferred compounds have activity that is at least 2-fold, preferably 5-fold, more preferably 10-fold, most preferably 50-100-fold, greater activity than N-Acetylleucylleucyinorleucinal see, e.g., EP 0 504 938 A2; and Sherwood et al. (1993) Proc. Natl. Acad. Sci. U.S.A. 90:3353-3357! in at least one, preferably the Aβ assay, of these assays.

2. The amount of α-sAPP and the ratio of α-sAPP to total sAPP in cerebral spinal fluid (CSF) as an indicator of Alzheimer's Disease (AD) and the effectiveness of therapeutic intervention

The relative amount of α-sAPP and the ratio of α-sAPP to total sAPP in CSF are shown herein to be useful markers in the detection of neurodegenerative disorders characterized by cerebral deposition of amyloid (e.g., AD) and in monitoring the progression of such disease. Furthermore, assay systems incorporating these markers can be used in monitoring therapeutic intervention of these diseases.

The amount of α-sAPP and the ratio of α-sAPP to total sAPP in CSF samples can be used as an indicator of Alzheimer's Disease and other neurodegenerative disorders. For purposes herein, this amount and/or the ratio can also be used to assess the effectiveness of compounds provided herein in treating Alzheimer's Disease and neurodegenerative disorders.

It has been found that patients with suspected Alzheimer's disease (as diagnosed by other indicia, or confirmed by autopsy) have a statistically significant lower ratio of α-sAPP to total sAPP in CSF and also have statistically significant lower levels of α-sAPP. Therefore, by comparison with non-Alzheimer's disease controls or by existence of a ratio lower than a predetermined standard, based, for example, on averages in samples from large numbers of unafflicted individuals, or an amount of α-sAPP lower than a predetermined standard, Alzheimer's disease or, depending upon other indications, another neurodegenerative disease is indicated.

Compounds, such as those provided herein, that alter this ratio or the level of α-sAPP closer to that of individuals who do not have a neurodegenerative disorder characterized by the cerebral deposition of amyloid are considered useful for treating these disorders.

3. In vivo assays

The ability of compounds to modulate processing of APP can also be evaulated using In vivo assays see, e.g., Lamb et al. (1993) Nature Genet. 5:22-29; Pearson et al. (1993) Proc. Natl. Acad. Sci. U.S.A. 90:10578-10582; Kowall et al. (1991) Proc. Natl. Acad. Sci. U.S.A. 88:7247-7251!. Compounds can be administered through a canula implanted in the cranium of a rat or other suitable test animal. After a predetermined period of administration the rats are sacrificed. The hippocampi are evaluated in immunoblot assays or other suitable assays to determine the relative level of α-sAPP and C-terminal fragments of APP compared to untreated control animals. Compounds that result in relative increases in the amount of α-sAPP are selected.

D. Formulation of Pharmaceutical Compositions

Compositions are provided that contain therapeutically effective amounts of the compounds of formulae (I), (II) and (III). The compounds are preferably formulated into suitable pharmaceutical preparations such as tablets, capsules or elixirs, for oral administration or in sterile solutions or suspensions for parenteral administration, as well as transdermal patch preparation. Typically the compounds described above are formulated into pharmaceutical compositions using techniques and procedures well known in the art.

About 10 to 500 mg of a compound or mixture of compounds for Formulae (I), (II) and (III) or a physiologically acceptable salt is compounded with a physiologically acceptable vehicle, carrier, excipient, binder, preservative, stabilizer, flavor, etc., in a unit dosage form as called for by accepted pharmaceutical practice. The amount of active substance in those compositions or preparations is such that a suitable dosage in the range indicated is obtained.

To prepare compositions, one or more compounds of formulae (I), (II) and (III) are mixed with a suitable pharmaceutically acceptable carrier. Upon mixing or addition of the compound(s), the resulting mixture may be a solution, suspension, emulsion or the like. Liposomal suspensions may also be suitable as pharmaceutically acceptable carriers. These may be prepared according to methods known to those skilled in the art. The form of the resulting mixture depends upon a number of factors, including the intended mode of administration and the solubility of the compound in the selected carrier or vehicle. The effective concentration is sufficient for ameliorating the symptoms of the disease, disorder or condition treated and may be empirically determined.

Pharmaceutical carriers or vehicles suitable for administration of the compounds provided herein include any such carriers known to those skilled in the art to be suitable for the particular mode of administration. In addition, the active materials can also be mixed with other active materials that do not impair the desired action, or with materials that supplement the desired action or have other action. The compounds may be formulated as the sole pharmaceutically active ingredient in the composition or may be combined with other active ingredients.

In instances in which the compounds exhibit insufficient solubility, methods for solubilizing compounds may be used. Such methods are known to those of skill in this art, and include, but are not limited to, using cosolvents, such as dimethylsulfoxide (DMSO), using surfactants, such as tween, or dissolution in aqueous sodium bicarbonate. Derivatives of the compounds, such as salts of the compounds or prodrugs of the compounds may also be used in formulating effective pharmaceutical compositions.

The concentrations or the compounds are effective for delivery of an amount, upon administration, that ameliorates the symptoms of the disorder for which the compounds are administered. Typically, the compositions are formulated for single dosage administration.

The compounds of formulae (I), (II) and (Ill) may be prepared with carriers that protect them against rapid elimination from the body, such as time release formulations or coatings. Such carriers include controlled release formulations, such as, but not limited to, microencapsulated delivery systems.

The active compound is included in the pharmaceutically acceptable carrier in an amount sufficient to exert a therapeutically useful effect in the absence of undesirable side effects on the patient treated. The therapeutically effective concentration may be determined empirically by testing the compounds in known in vitro and in vivo model systems for the treated disorder.

The compositions can be enclosed in ampules, disposable syringes or multiple or single dose vials made of glass, plastic or other suitable material. Such enclosed compositions can be provided in kits.

The concentration of active compound in the drug composition will depend on absorption, inactivation and excretion rates of the active compound, the dosage schedule, and amount administered as well as other factors known to those of skill in the art.

The active ingredient may be administered at once, or may be divided into a number of smaller doses to be administered at intervals of time. It is understood that the precise dosage and duration of treatment is a function of the disease being treated and may be determined empirically using known testing protocols or by extrapolation from in vivo or in vitro test data. It is to be noted that concentrations and dosage values may also vary with the severity of the condition to be alleviated. It is to be further understood that for any particular subject, specific dosage regimens should be adjusted over time according to the individual need and the professional judgment of the person administering or supervising the administration of the compositions, and that the concentration ranges set forth herein are exemplary only and are not intended to limit the scope or practice of the claimed compositions.

If oral administration is desired, the compound should be provided in a composition that protects it from the acidic environment of the stomach. For example, the composition can be formulated in an enteric coating that maintains its integrity in the stomach and releases the active compound in the intestine. The composition may also be formulated in combination with an antacid or other such ingredient.

Oral compositions will generally include an inert diluent or an edible carrier and may be compressed into tablets or enclosed in gelatin capsules. For the purpose of oral therapeutic administration, the active compound or compounds can be incorporated with excipients and used in the form of tablets, capsules or troches. Pharmaceutically compatible binding agents and adjuvant materials can be included as part of the composition.

The tablets, pills, capsules, troches and the like can contain any of the following ingredients, or compounds of a similar nature: a binder, such as, but not limited to, gum tragacanth, acacia, corn starch or gelatin; an excipient such as microcrystalline cellulose, starch and lactose, a disintegrating agent such as, but not limited to, alginic acid and corn starch; a lubricant such as, but not limited to, magnesium stearate; a glidant, such as, but not limited to, colloidal silicon dioxide; a sweetening agent such as sucrose or saccharin; and a flavoring agent such as peppermint, methyl salicylate, and fruit flavoring.

When the dosage unit form is a capsule, it can contain, in addition to material of the above type, a liquid carrier such as a fatty oil. In addition, dosage unit forms can contain various other materials which modify the physical form of the dosage unit, for example, coatings of sugar and other enteric agents. The compounds can also be administered as a component of an elixir, suspension, syrup, wafer, chewing gum or the like. A syrup may contain, in addition to the active compounds, sucrose as a sweetening agent and certain preservatives, dyes and colorings and flavors.

The active materials can also be mixed with other active materials which do not impair the desired action, or with materials that supplement the desired action.

Solutions or suspensions used for parenteral, intradermal, subcutaneous, or topical application can include any of the following components: a sterile diluent, such as water for injection, saline solution, fixed oil, a naturally occurring vegetable oil like sesame oil, coconut oil, peanut oil, cottonseed oil, etc. or a synthetic fatty vehicle like ethyl oleate or the like, polyethylene glycol, glycerine, propylene glycol or other synthetic solvent; antimicrobial agents, such as benzyl alcohol and methyl parabens; antioxidants, such as ascorbic acid and sodium bisulfite; chelating agents, such as ethylenediaminetetraacetic acid (EDTA); buffers, such as acetates, citrates and phosphates; and agents for the adjustment of tonicity such as sodium chloride or dextrose. Parenteral preparations can be enclosed in ampules, disposable syringes or multiple dose vials made of glass, plastic or other suitable material. Buffers, preservatives, antioxidants and the like can be incorporated as required.

If administered intravenously, suitable carriers include physiological saline or phosphate buffered saline (PBS), and solutions containing thickening and solubilizing agents, such as glucose, polyethylene glycol, and polypropylene glycol and mixtures thereof. Liposomal suspensions, including tissue-targeted liposomes, may also be suitable as pharmaceutically acceptable carriers. These may be prepared according to methods known to those skilled in the art. For example, liposome formulations may be prepared as described in U.S. Pat. No. 4,522,811.

The active compounds may be prepared with carriers that protect the compound against rapid elimination from the body, such as time release formulations or coatings. Such carriers include controlled release formulations, such as, but not limited to, implants and microencapsulated delivery systems, and biodegradable, biocompatible polymers, such as collagen, ethylene vinyl acetate, polyanhydrides, polyglycolic acid, polyorthoesters, polylactic acid and others. Methods for preparation of such formulations are known to those skilled in the art.

The compounds may be formulated for local or topical application, such as for topical application to the skin and mucous membranes, such as in the eye, in the form of gels, creams, and lotions and for application to the eye or for intracisternal or intraspinal application. Such solutions, may be formulated as 0.01%-100% (weight to volume) isotonic solutions, pH about 5-7, with appropriate salts. The compounds may be formulated as aeorsols for topical application, such as by inhalation see, e.g., U.S. Pat. Nos. 4,044,126, 4,414,209, and 4,364,923!.

Finally, the compounds may be packaged as articles of manufacture containing packaging material, an acceptable composition containing a compound of formulae (I), (II) and (III) provided herein, which is effective for treating the particular disorder, and a label that indicates that the compound or salt thereof is used for treating the disorder.

E. Methods of Use

The compounds for use in the methods herein have the formulae (I), (II) and (III): ##STR7## or the hydrates and isosteres, diastereomeric isomers and mixtures thereof, or pharmaceutically acceptable salts thereof in which X is selected as described above, and R₁, R₂, R₃, R₄, R₅, R₆, R₇, R₈, R_(A), R_(B), Q and n are selected from among (i), (ii), (iii), (iv), (v), (vi), (vii) or (viii), as described above.

These compounds have pharmacological utility and also utility as reagents. It is recognized in this art that compounds that exhibit activity as protease inhibitors have use for the treatments of particular disorders in which particular proteases are implicated. For example compounds that exhibit activities in assays that assess the ability of the compounds to alter or modulate the activity of proteins associated with the deposition of cerebral amyloid, are pharmacologically useful and potentially therapeutically useful in the treatment of disorders that involve such deposition.

The dose ranges, which can be established empirically, for use in the treatment of disease states will depend upon the etiology, nature, and severity of the disease state as well as such other factors as determined by the attending physician. The broad range for effective treatment is about 0.01 to 10 mg per kilogram of body weight per day. The preferred range is about 0.1 to 10 mg/Kg of body weight per day.

Included among the compounds for use in the methods here in are those that are alcohols, preferably secondary alcohols, that correspond to peptidyl or petidyl analog ketone protease inhibitors see, e.g., Skiles et al. (1992) J. Med. Chem. 35:641-662; Mjali et al. (1994) Bioorg. Med. CHem. Lttrs. 4:1965-1968; Imperiali et al. (1986) Biochem. 25:3760-3767; Angelastro et al. (1994) J. Med. Chem. 37:4538-4554; published European patent application EP 0 410 411 A2!. Other compounds are those of formulae (I), (II) and (III).

The active compounds can be administered by any appropriate route, for example, orally, parenterally, intravenously, intradermally, subcutaneously, or topically, in liquid, semi-liquid or solid form and are formulated in a manner suitable for each route of administration. Preferred modes of administration include oral and parenteral modes of administration.

Since, it is feasible to indirectly measure the presence of, and over the course of time, to determine the rate of increase of those protein segments believed to be critical to the formation of amyloid plaques located in the brain (see, e.g., U.S. Pat. No. 5,270,165 and the CSF assay provided herein and described above and in the EXAMPLES), dosages can be empirically determined by the physician. As these techniques involve the use of cerebral spinal fluids, such techniques and other equivalently functioning procedures, will be useful to the attending physician in determining the need to modify the dosage for individual patients.

In treating these disease states, it is sufficient to start treating the patient as soon as the attending physician makes a diagnosis that the patient is suffering from one of these diseases. Thus, although the progress of treatment of the patient may be monitored by the measurements of those biological factors which characterize the diseases, it is not necessary to so-evaluate such characteristics before treatment. Rather it is within the provence of the attending physician to determine when it is in the best interest of the patient to start treatment. Therefore, patients showing increased probabilities of the disease state, (e.g. by carrying known familial genetic markers that increase the probability of the incidence of neurodegenerative diseases as well as the patient's general behavioral characteristics and other indicia of these diseases) can be treated by the methods and with the compositions provided herein.

1. Treatment of Neurodegenerative Diseases

Amyloid plaques are believed to accompany and/or to be involved in the process responsible for the development and progression of certain neurodegenerative disease states. Without being bound by any theory of action, it is believed that the compounds provided herein modulate the generation of amyloidogenic peptides to effectuate a beneficial result. Without any intent to limit -or restrict- the compounds and methods provided herein to any specific mechanism of action for the end-use applications, it is believed that the compounds effectuate a modulation of the processing of the amyloid precursor protein (APP), the progenitor of the deposited amyloidogenic Aβ peptides (39 to 43 amino acid residues) found in senile plaques in the brains of patients diagnosed with, for example, Alzheimer's disease. Thus, the compounds provided herein are useful in the treatment of such neurodegenerative disease states in which such amyloid plaques accumulate or are implicated in the etiology thereof, including, but not limited to: Alzheimer's disease, cognition deficits, Down's Syndrome, Parkinson's disease, cerebral hemorrhage with amyloidosis, dementia pugilistica, head trauma and in the treatment of conditions characterized by a degradation of the neuronal cytoskeleton resulting from a thrombolytic or hemorrhagic stroke.

For example, it is believed that the compounds can be used in the treatment of Alzheimer's patients through the modulation of APP processing to effectuate a beneficial result by: (a) decreasing the formation of Aβ; (b) modulating the generation of a mutually exclusive, alternative-processed form of APP that precludes Aβ formation (α-sAPP); and/or, (c) modulating the generation of partially processed C-terminal Aβ-containing amyloidogenic peptides.

In addition, these compounds may also beneficially modulate neurodegenerative abnormalities not thought to be associated with amyloid plaques, such as stroke, by beneficially affecting the rate of degeneration of the neuronal cytoskeleton that occurs as a result of thrombolytic or hemorrhagic stroke.

It is believed that the treatment of patients with such disorders with these compounds will result in a beneficial modulation of the symptoms of or causative factors involved in neurodegenerative disease states and will result in an enhanced lifestyle as well as to delay or obviate the need to institutionalize these patients.

The compounds can be administered to patients in need of such treatment in a dosage range of 0.01-10 mg per kg of body weight per day. and can be administered by any appropriate route, for example, orally, parenterally, intravenously, intradermally, subcutaneously, or topically, in liquid, semi-liquid or solid form and are formulated in a manner suitable for each route of administration. As stated above, the dose will vary depending on severity of disease, weight of patient and other factors which a person skilled in the art will recognize.

Patients include those with a neurodegenerative disease, including but not limited to Alzheimer's disease, cognition deficits, Down's Syndrome, Parkinson's disease, cerebral hemorrhage with amyloidosis, dementia pugilistica, and head trauma. Treatment is effected by administering to such patient a therapeutically effective amount of a compound of the formulae (I), (II) and (III) defined as above. Particularly preferred for use in these methods are the compounds particularly provided herein, including the compounds of formulae (I), (II) and (III) as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid and X is a tertiary or secondary haloalkyl alcohol, R₁ is not the side chain of cyclohexylalanine or cyclohexylglycine.

In other embodiments, the methods use compounds that have formula (III), as defined above, then, when X is a tertiary or secondary haloalkyl alcohol, R₁ is the side chain of a non-naturally-occurring α-amino acid and it is not the side chain of cyclohexylalanine or cyclohexylglycine.

In certain other embodiments, the methods used compounds that have formulae (I) or (II), as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid, R₁ is not the side chain of cyclohexylalanine or cyclohexylglycine.

In certain other embodiments, the methods use compounds that have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a subunit of a non-naturally-occurring amino acid, the side chain of R₁ is of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, unless the compounds are primary alcohols, then the non-naturally-occurring amino acid is other than norleucine or norvaline.

In certain other embodiments of the methods, the compounds have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a subunit of a non-naturally-occurring amino acid, the side chain of R₁ is of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, unless the compounds are primary alcohols, then the non-naturally-occurring amino acid is other than norleucine or norvaline.

Thus, in certain other embodiments the methods use compounds that are primary alcohols, when the compounds are primary alcohols, they have formulae (I) or (II), particularly formula I, as defined above, but with the proviso that: (1 ) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid, it is not the side chain of norleucine or norvaline.

Thus, in certain other embodiments in which the compounds used in the methods are primary alcohols, the compounds have formulae (I) or (II), particularly formula I, as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid, it is not the side chain of cyclohexylalanine, cyclohexylglycine, norleucine or norvaline.

In other embodiments, the methods use compouds that have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a side chain of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, norleucine or norvaline.

In other embodiments, the methods use compounds that have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a side chain of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, norleucine, norvaline, citrulline, ornithine, 4-phenyl-2-aminobutyric acid, 1-naphthylalanine, 2-naphthylalanine, sarcosine, 2-indolinecarboxylic acid, β-alanine, β-valine, N-6-acetyllysine, O-4'-methyltyrosine, a substituted alanine and guanidinophenylalanine.

In certain other embodiments, the methods use compounds that have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): at least one of the amino acid residues in the resulting di-peptide or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅, preferably R₁, is a side chain of a non-naturally-occurring amino acid, R₁ is not cyclohexylalanine, and the at least one non-naturally occurring amino acid (or side chain thereof) is other than norleucine or norvaline, unless the resulting residue is a halo-substituted alcohol, particularly fluoro-substituted alcohols. Such compounds include, but are not limited to: (2SR)-(3SR)-N-Ac-L-Leu-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide, (2SR)-(3SR)-N-Cbz-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide and (2SR)-(3SR)-N-valeroyl-L-Leu N- 3-(1,1 1-trifluoro-2-heptanol)!amide.

In other embodiments, the methods use compounds that have formulae (I) or (II) and at least one of R₁, R₃ and R₅, preferably R₁ or R₅, includes at least one unsaturated bond so that at least one of R₁, R₃ and R₅, preferably R₁ and R₅, is a straight or branched carbon chain containing at least one unsaturated bond, preferably a double bond, and 2 to 10, preferably 3 to 7, more preferably 4 to 6, carbon atoms in the chain. Such side chains include, but are not limited to substituted and unsubstituted propenes, butenes, pentenes, such as, 2-methyl-propenyl and 2-butenyl, which among the preferred residues.

2. Treatment of Diseases Characterized by Degeneration of the Cytoskeleton

Also provided are methods of treating a patient suffering from a disease state characterized by the degeneration of the cytoskeleton arising from a thrombolytic or hemorrhagic stroke by administering a therapeutically effective amount of a compound of the formulae (I), (II) or (III) defined as above.

Particularly preferred for use in these methods are the compounds particularly provided herein, including the compounds of formulae (I), (II) and (III) as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid and X is a tertiary or secondary haloalkyl alcohol, R₁ is not the side chain of cyclohexylalanine or cyclohexylglycine.

In other embodiments, the methods use compounds that have formula (III), as defined above, then, when X is a tertiary or secondary haloalkyl alcohol, R₁ is the side chain of a non-naturally-occurring α-amino acid and it is not the side chain of cyclohexylalanine or cyclohexylglycine.

In certain other embodiments, the methods used compounds that have formulae (I) or (II), as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid, R₁ is not the side chain of cyclohexylalanine or cyclohexylglycine.

In certain other embodiments, the methods use compounds that have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a subunit of a non-naturally-occurring amino acid, the side chain of R₁ is of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, unless the compounds are primary alcohols, then the non-naturally-occurring amino acid is other than norleucine or norvaline.

In certain other embodiments of the methods, the compounds have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a subunit of a non-naturally-occurring amino acid, the side chain of R₁ is of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, unless the compounds are primary alcohols, then the non-naturally-occurring amino acid is other than norleucine or norvaline.

Thus, in certain other embodiments the methods use compounds that are primary alcohols, when the compounds are primary alcohols, they have formulae (I) or (II), particularly formula I, as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid, it is not the side chain of norleucine or norvaline.

Thus, in certain other embodiments in which the compounds used in the methods are primary alcohols, the compounds have formulae (I) or (II), particularly formula I, as defined above, but with the proviso that: (1) at least one of the amino acid residues in the resulting di or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅ is not a side chain of a naturally-occurring amino acid; and (2) when R₁ is the side chain from a non-naturally occurring amino acid, it is not the side chain of cyclohexylalanine, cyclohexylglycine, norleucine or norvaline.

In other embodiments, the methods use compouds that have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): R₁ is a side chain of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, norleucine or norvaline.

In other embodiments, the methods use compounds that have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (II) or (II): R₁ is a side chain of a non-naturally-occurring amino acid other than cyclohexylalanine or cyclohexylglycine, norleucine, norvaline, citrulline, ornithine, 4-phenyl-2-aminobutyric acid, 1-naphthylalanine, 2-naphthylalanine, sarcosine, 2-indolinecarboxylic acid, β-alanine, β-valine, N-6-acetyllysine, O-4'-methyltyrosine, a substituted alanine and guanidinophenylalanine.

In certain other embodiments, the methods use compounds that have formulae (I), (II) or (III) as defined above, but with the proviso that, when the compounds have formula (I) or (II): at least one of the amino acid residues in the resulting di-peptide or tri-peptide is a non-naturally-occurring α-amino acid or at least one of the R₁, R₃ and R₅, preferably R₁, is a side chain of a non- naturally-occurring amino acid, R₁ is not cyclohexylalanine, and the at least one non-naturally occurring amino acid (or side chain thereof) is other than norleucine or norvaline, unless the resulting residue is a halo-substituted alcohol, particularly fluoro-substituted alcohols. Such compounds include, but are not limited to: (2SR)-(3SR)-N-Ac-L-Leu-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide, (2SR)-(3SR)-N-Cbz-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide and (2SR)-(3SR)-N-valeroyl-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide.

In other embodiments, the methods use compounds that have formulae (I) or (II) and at least one of R₁, R₃ and R₅, preferably R₁ or R₅, includes at least one unsaturated bond so that at least one of R₁, R₃ and R₅, preferably R₁ and R₅, is a straight or branched carbon chain containing at least one unsaturated bond, preferably a double bond, and 2 to 10, preferably 3 to 7, more preferably 4 to 6, carbon atoms in the chain. Such side chains include, but are not limited to substituted and unsubstituted propenes, butenes, pentenes, such as, 2-methyl-propenyl and 2-butenyl, which among the preferred residues.

3. Protease Inhibition in Cells

The compounds provided herein have activity as inhibitors of cellular proteases, such cysteine proteases, including calpain . It is believed by those of skill in this art that excessive activation of the Ca²⁺ -dependent protease calpain plays a role in the pathology of a variety of disorders, including cerebral ischaemia, cataract, myocardial ischaemia, muscular dystrophy and platelet aggregation. Thus, compounds that have activity as calpain inhibitors are considered by those of skill in this art to be useful see, e.g., U.S. Pat. No. 5,081,284, Sherwood et al. (1993) Proc. Natl. Acad. Sci. U.S.A. 90:3353-3357!. Assays that measure the anti-calpain activity of selected compounds are known to those of skill in the art (see, e.g., U.S. Pat. No. 5,081,284). Activities of inhibitors in such in vitro assays at concentrations (IC₅₀) in the nanomolar range or lower are indicative of therapeutic activity. Such compounds also have utility in the purification of proteinases, such as cysteine proteases, on affinity columns of these compounds (see, U.S. Pat. No. 5,081,284). Also, calpain inhibitors, such as N-Acetylleucylleucyinorleucinal see, e.g., EP 0 504 938 A2; and Sherwood et al. (1993) Proc. Natl. Acad. Sci. U.S.A. 90:3353-3357!, which is commercially available, are used as reagents in the study of protein trafficking and other cellular processes see, e.g., Sharma et al. (1992) J. Biol. Chem. 267:5731-5734!. Finally, inhibitors of cysteine proteases strongly inhibit the growth of Plasmodium falciparum and Schistosoma mansoni see, e.g., Scheibel et al. (184) Protease inhibitors and antimalarial effects. In: Malaria and the Red Cell, Progress in Clinical and Biological Research, Alan R. Liss, Inc., NY, pp. 131-142!. Thus, the compounds herein may be used as such reagents or to inhibit the growth of certain parasites.

The methods of protease inhibition in cells may employ any of the compounds of formulae (I), (II) and (III) or peptidyl, peptidyl analog and amino acid analog alcohols, particularly haloalkyl secondary alcohols that are the corresponding alcohols of any peptidyl or peptidyl analog ketones or aldehydes that inhibit proteases in cell-free assays see, EP 0 41 0 411 A2, which is based on U.S. application Ser. No. 07/385,624, WO 92/20357, which is based on U.S. application Ser. No. 08/704,449, EP 0 364 344 A2, which is based on U.S. application Ser. No. 08/254,762!. In practicing these methods, cells are contacted with the compound. Compounds that have specificity for a particular protease may be selected by contacting the compounds with cells that produce compounds processed by such protease or that express such protease. Compounds that result in a decrease in such processing or protease activity are selected. The APP processing assay set forth herein is exemplary of such cell-based assays.

The following specific examples further illustrate the methods by which compounds of formulae (I), (II) and (III) may be prepared, but are not meant to limit the scope of this invention to the specific compounds. Thus, the following examples are included for illustrative purposes only and are not intended to limit the scope of the invention.

EXAMPLE 1

Preparation of L-(methyl)Nle Methyl Ester Hydrochloride

To a stirred solution of the N-BOC-L-Nle methyl ester (1.0 eq) in 20:1 anhydrous tetrahydrofuran:dimethylformamide (THF:DMF) at 0° C. under Argon (Ar) is added methyl iodide (2.0 eq) and 60% sodium hydride (NaH) in oil dispersion (1.1 eq). The reaction mixture is refluxed for 16 h. The mixture is poured onto 10% aqueous hydrogen chloride (10% HCl) and is extracted with ethyl acetate (EA). The combined organic extracts are washed with saturated aqueous sodium chloride (sat. NaCl), dried over magnesium sulfate (MgSO₄), filtered and concentrated in vacuo to afford N-BOC-L-(methyl)Nle methyl ester.

N-BOC-L-(methyl)Nle methyl ester (1.0 eq) is treated with 4N hydrogen chloride (4N HCl) in dioxane at room temperature (R.T.) The reaction mixture is stirred for 1.5 h then concentrated in vacuo. The solid is treated with anhydrous ether and concentrated in vacuo. The resulting L-(methyl)Nle methyl ester hydrochloride is isolated.

EXAMPLE 2

Preparation of the Precusor Ethyl 2-amino-4-methyl-4-pentenoate Hydrochloride

To a solution of N-(diphenylmethylene)glycine ethyl ester (6.6 g, 24.7 mmol) in anhydrous THF at -78° C. under Ar was slowly added 1.0M lithium bis(trimethylsilyl)amide (LiHMDSi) in THF (24.7 mL, 24.7 mmol) over 15 min. Stirring was continued for 30 min at -78° C., then 3-bromo-2-methylpropene (2.5 mL, 25.0 mmol) was added. The mixture was gradually warmed to R.T. then stirred for 1 h at R.T. The reaction mixture was treated with water (H₂ O) and then concentrated. The residue was taken up in EA (50 mL). The organic layer was washed with saturated aqueous sodium chloride (sat. NaCl) (2×10 mL), dried (MgSO₄), filtered and concentrated. The crude was purified by flash chromatography on silica gel ((ethyl acetate:hexane) EA:H; 1:4) to give ethyl 4-methyl-2- (diphenylmethylene)amine!-4-pentenoate as a colorless oil (6.4 g, 89.3%): ¹ H NMR (CDCl₃, 300 MHz) δ 1.23-1.29 (t, 3H, J=6.0 Hz), 1.48-1.49 (m, 3H), 2.55-2.69 (m, 2H). 4.11-4.24 (m, 3H), 4.71-4.75 (m, 2H), 7.16-7.83 (m, 10H) ppm.

To a stirred solution of the above ethyl ester (6.4 g, 20.0 mmol) in anhydrous ether (15 mL) at R.T. was added 1N aqueous hydrogen chloride (1N HCl) (70 mL). After 40 min, the two phases were separated, and the aqueous layer was washed with ether (3×10 mL). The aqueous layer was adjusted with 1N aqueous sodium hydroxide (1N NaOH) (pH=10), then extracted with ether (3×20 mL). The combined organic extracts were dried (MgSO₄), filtered and then adjusted with 4N HCl/dioxane (pH=3) and concentrated in vacuo to afford ethyl 2-amino-4-methyl-4-pentenoate hydrochloride as an oil (3.11 g, 79.4%): ¹ H NMR (CDCl₃, 300 MHz) δ 1.25-1.32 (t, 3H, J=6.0 Hz), 1.81 (s, 3H), 2.74-2.81 (m, 2H), 4.22-4.29 (m, 2H), 4.98 (d, 2H, J=12.0 Hz) ppm.

EXAMPLE 3

Preparation of (2SR)-N-Cbz-L-Leu-L-Leu N- 2-(4-methyl-4-pentenol)!amide

To a stirred solution of N-Cbz-L-Leu-OH (5.6 g, 20.7 mmol) in anhydrous methylene chloride (CH₂ Cl₂) (50 mL) at R.T. under Ar were added successively hydrobenzotriazole hydrate (HOBT) (5.6 g, 41.5 mmol), 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride (EDC) (4.0 g, 20.7 mmol), H-L-Leu-OCH₃ HCl (3.4 g, 18.8 mmol) and triethylamine (Et₃ N) (2.9 mL, 20.7 mmol). The reaction mixture was stirred for 16 h. The mixture was taken up in additional CH₂ Cl₂ (30 mL), washed with sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. The resulting residue was purified by flash chromatography on silica gel (EA:H; 1:2) to afford the dipeptide N-Cbz-L-Leu-L-Leu-OCH₃ as a white solid (6.0 g, 64.1%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.86-0.95 (ol-t, 12H, J=6.0 Hz), 1.48-1.74 (m, 6H), 3.73 (s, 3H), 4.20-4.25 (m, 1H), 4.56-4.63 (m, 1H), 5.11 (s, 2H), 5.20 (d, 1H, J=6.0 Hz), 6.36 (d, 1H, J=6.0 Hz), 7.31-7.39 (m, 5H) ppm.

To a stirred solution of N-Cbz-L-Leu-L-Leu-OCH₃ (6.0 g, 14.6 mmol) in MeOH/H₂ O (3:1) (60 mL) at R. T. was added lithium hydroxide monohydrate (LiOH.H₂ O) (1.0 g, 43.9 mmol) and hydrogen peroxide (H₂ O₂) (30% weight in H₂ O) (4.5 mL, 43.9 mmol). The reaction mixture was stirred for 3.5 h and then quenched with 10% HCl. The resulting mixture was extracted with EA (3×20 mL). The combined organic extracted were washed with sat. NaCl (2×10 mL), dried (MgSO₄) and concentrated in vacuo to afford N-Cbz-L-Leu-L-Leu-OH as a white solid (5.0 g, 90.5%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.89-0.92 (t, 12H, J=3.0 Hz), 1.48-1.71 (m, 6H), 4.11-4.13 (m, 1H), 4.55-4.62 (m, 1H), 5.09 (s, 2H), 5.64 (d, 1H, J=9.0 Hz), 6.83 (d, 1H, J=9.0 Hz), 7.33-7.40 (m, 5H) ppm.

To a stirred solution of N-Cbz-L-Leu-L-Leu-OH (3.2 g, 8.5 mmol) in anhydrous CH₂ Cl₂ (35 mL) at R.T. under Ar were added HOBT (2.3 g, 17.1 mmol), EDC (1.6 g, 8.5 mmol), ethyl 2-amino-4-methyl-4-pentenoate hydrochloride, as prepared in example 2, (1.5 g, 7.8 mmol) and Et₃ N (1.2 mL, 8.5 mmol). The reaction mixture was stirred for 16 h at R.T. The mixture was taken up in CH₂ Cl₂ (30 mL). The organic layer was washed with saturated aqueous sodium hydrogen carbonate (sat. NaHCO₃) (2×10 mL), 10% HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. The residue was purified by flash chromatography on silica gel (EA:H; 1:4) to afford (2SR)-N-Cbz-L-Leu-L-Leu N- 2- ethyl (4-methyl-4-pentenoate)!amide as a white solid (1.9 g, 47.3%): Reporting a mixture of diastereomers ¹ H NMR (CDCl₃, 300 MHz) δ 0.88-0.92 (ol-m, 12H), 1.21-1.29 (ol-m, 3H), 1.51-1.71 (ol-m, 9H), 2.39-2.52 (ol-m, 2H), 4.13-4.21 (ol-m, 3H), 4.47-4.82 (ol-m, 4H), 5.10 (ol-m, 2H), 5.32 (d, 1H, J=9.0 Hz), 6,44-6.77 (m, 2H), 7.29-7.36 (ol-m, 5H) ppm.

To a stirred solution of the above ethyl ester (1.9 g, 3.6 mmol) in anhydrous THF (10 mL) at 0° C. under Ar was added lithium borohydride (LiBH₄) (0.16 g, 7.1 mmol). Stirring was continued for 30 min at 0° C. then the mixture was warmed to R. T. After 1 h, 1N HCl (1 mL) was added to the reaction mixture, and then extracted with EA (3×20 mL). The combined organic were washed with sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated in vacuo to afford the crude residue. The residue was purified by flash chromatography on silica gel (EA:H; 1:3) to yield the title compound as a white solid (1.4 g, 85.6%): Reporting a mixture of diastereomers ¹ H NMR (CDCl₃, 300 MHz) δ 0.88-0.95 (ol-m, 12H), 1.47-1.73 (ol-m, 9H), 2.16-2.27 (ol-m, 2H), 3.54-3.67 (ol-m, 2H), 4.12 (ol-m, 2H), 4.33-4.40 (ol-m, 1H), 4.74-4.80 (ol-m, 2H), 5.03-5.37 (ol-m, 3H), 6.34-6.37 (ol-m, 2H), 7.30-7.40 (ol-m, 5H) ppm.

EXAMPLE 4

Preparation of (1SR)-N-Cbz-L-Leu-L-Leu N- 2-(thiazole-hexanol)!amide

To a stirred solution of thiazole (0.11 mL, 1.55 mmol) in anhydrous ether (8 mL) at -78° C. under Ar was slowly added 1.8M N-butyl lithium in hexanes (nBuLi) (1.0 mL, 1.7 mmol). After an addition 20 min of stirring at -78° C. N-BOC-L-Nle N-methoxy-N-methylamide (0.17 g, 0.62 mmol) in anhydrous ether (5 mL) was added. Stirring was continued for 1 h at -78° C. then gradually warmed to R. T. The resulting mixture was treated with 1N HCl (1 mL), 1N NaOH (pH=9), and extracted with ether (3×10 mL). The combined organic layers were washed with sat. NaHCO₃ (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel (EA:H; 1:5) afforded the (2S)-N-BOC-2-amino-thiazole-oxo-hexyl derivative as a white solid (0.14 g, 76%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.86 (t, 3H, J=6.0 Hz), 1.23-1.62 (m, 13H), 1.66-1.75 (m, 2H), 5.32-5.46 (m, 2H), 7.70 (d; 1H, J=3.0 Hz), 8.03 (d, 1H, J=6.0 Hz) ppm.

The above derivative (0.13 g, 0.44 mmol) was treated with 4N HCl/dioxane (5 mL) at R. T. After 30 min the reaction mixture was concentrated in vacuo. The resulting solid was recrystallized (methanol (MeOH)/Ether) to give the hydrochloride as a white solid (0.1 gr, 75%): ¹ H NMR (CD₃ OD, 300 MHz) δ 0.64-0.73 (t, 3H, J=6.0 Hz), 1.17-1.21 (m, 4H), 1.76-1.99 (m, 2H), 4.86-4.91 (m, 1H), 7.72-7.98 (m, 2H) ppm.

To the resulting hydrochloride (0.09 g, 0.33 mmol) in anhydrous CH₂ Cl₂ (10 mL) at R. T. under Ar was added HOBT (0.1 g, 0.73 mmol), EDC (0.07 g, 0.36 mmol), N-Cbz-L-Leu-L-Leu-OH (0.09 g, 0.33 mmol) and Et₃ N (0.09 mL, 0.66 mmol). After 16 h CH₂ Cl₂ (20 mL) was added, and the organic layer was washed with sat. NaHCO₃ (2×10 mL), 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel (EA:H; 1:1) afforded (2S)-N-Cbz-L-Leu-L-Leu N- 2-(thiazole-oxo-hexyl!amide as a white solid (0.16 gr, 88%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.83-1.06 (m. 15H), 1.20-2.15 (m, 12H), 4.10-4.30 (m, 1H), 4.48-4.61 (m, 1H), 5.11 (s, 2H), 5.15-5.25 (m, 1H), 5.60-5.70 (m, 1H), 6.32-6.50 (m, 1H), 7.30-7.40 (m, 5H), 7.70 (dd, 1H, J=6.0, 3.0 Hz), 8.05 (dd, 1H, J=6.0, 3.0 Hz) ppm.

To a stirred solution of the above ketone derivative (1.0 eq) in MeOH (50 mL) under Ar at 0° C. is added sodium borohydride (NaBH₄) (1.0 mmol). Stirring is continued for 30 min at 0° C., then the mixture is warmed to R. T. After 1 h, 1N HCl is added to the reaction mixture, and then extracted with EA. The combined organic are washed with 1N HCl, sat. NaHCO₃, sat. NaCl, dried (MgSO₄), filtered and concentrated in-vacuo to afford the crude residue. The residue is purified by flash chromatography on silica gel to yield the title compound.

EXAMPLE 5

Preparation of (2SR)-(3SR)-3-amino-1,1,1-trifluoro-2-heptanol

To a stirred solution of 1-nitropentane (1.0 g, 8.5 mmol) and tri-fluoroacetaldehyde ethyl hemiacetal (1.2 mL, 8.5 mL) was added potassium carbonate (K₂ CO₃) (0.06 g, 0.43 mmol). The reaction mixture was heated at 60° C. under Ar for 3 h. The mixture was cooled to R.T., then taken up in EA (50 mL). The organic layer was washed with 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated to give (2SR)-(3SR)-3-nitro-1,1,1-trifluoro-2-heptanol as a crude oil (1.7 g, 93%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.91 (t, 3H, J=7.2 Hz), 1.24-1.43 (m, 4H), 2.04-2.11 (m, 2H), 4.08-4.77 (m, 3H) ppm.

To a stirred solution of the nitro-alcohol derivative (1.6 g, 7.4 mmol) in MeOH (10 mL) was added Raney Nickel (0.16 g, 10% by weight). The mixture was placed under 35 psi of hydrogen gas (H₂) for 16 h, and then was filtered through celite. The celite was washed with MeOH (3×10 mL). The combined organics were concentrated to give (2SR)-(3SR)-3-amino-1,1,1-trifluoro-2-heptanol as an oil (0.8 g, 64.9%): ¹ H NMR (CD₃ OD, 300 MHz) δ 0.89-0.95 (m, 3H), 1.20-2.10 (m, 6H), 3.30-4.40 (m, 4H) ppm.

EXAMPLE 6

Preparation of (2SR)-(3SR)-N-Ac-L-Leu-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide

To a stirred solution of (2SR)-(3SR)-3-amino-1,1,1-trifluoro-2-heptanol (0.36 g, 2.14 mmol) (as prepared in example 5) in anhydrous CH₂ Cl₂ (20 mL) were added N-Ac-Leu-Leu-OH (0.67 g, 2.4 mmol), HOBT (0.33 g, 2.4 mmol), EDC (0.46 g, 2.4 mmol) and Et₃ N (0.33 mL, 2.4 mmol). The reaction mixture was stirred for 18 h then washed with sat. NaHCO₃ (2×10 mL), 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel (EA:H; 1:2) afforded the trifluoromethyl alcohol peptide derivative, the titile compound, as a white solid (0.85 g, 88.8%): Reporting a mixture of diastereomers ¹ H NMR (CDCl₃, 300 MHz) δ 0.89-0.95 (ol-m, 15H), 1.05-1.90 (ol-m, 12H), 1.95 (s, 3H), 3.91-4.50 (ol-m, 4H) ppm.

EXAMPLE 7

Preparation of (2SR)-(3SR)-N-Cbz-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide

To a stirred solution of (2SR)-(3SR)-3-amino-1,1,1-trifluoro-2-heptanol (0.9 g, 3. 4 mmol) (prepared in example 5) in anhydrous CH₂ Cl₂ (15 mL) at R.T. were added N-Cbz-L-Leu-OH (0.58 g, 3.1 mmol), HOBT (0.92 g, 6.8 mmol), EDC (0.65 g, 3.4 mmol) and Et₃ N (0.47 mL, 3.4 mmol). The reaction mixture was stirred for 18 h then washed with sat. NaHCO₃ (2×10 mL), 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel (EA:H; 1:4) afforded the trifluoromethyl alcohol peptide derivative, the title compound, as a white solid (1.1 g, 82.6%): Reporting a mixture of diastereomers ¹ H NMR (CDCl₃, 300 MHz) δ 0.88-0.95 (ol-m, 9H), 1.29-1.65 (ol-m, 9H), 4.00-4.17 (ol-m, 3H), 4.59-5.46 (m, 4H), 6.42-6.81 (m, 1H), 7.29-7.38 (m, 5H) ppm.

EXAMPLE 8

Preparation of N-valeroyl-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide

To a stirred solution of valeric acid (2 mL, 15.7 mmol) in anhydrous CH₂ Cl₂ (40 mL) at R.T. were added HOBT (4.3 g, 31.5 mmol), EDC (3.0 g, 15.7 mmol), H-L-Leu-OCH₃.HCl (2.6 g, 14.3 mmol) and Et₃ N (2.2 mL, 15.7 mmol). The reaction mixture was stirred for 18 h then taken up in additional CH₂ Cl₂ (20 mL), washed with sat. NaHCO₃ (2×10 mL), 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel (EA:H; 1:3) afforded N-valeroyl-L-Leu-OCH₃ as a colorless oil (2.7 g, 77.5%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.88-1.03 (m, 12H), 1.50-1.69 (m, 6H), 2.20-2.25 (m, 2H), 3.74 (s, 3H), 4.62-4.70 (m, 1H), 5.86-5.89 (d=1H, J=9 Hz) ppm.

To a stirred solution of the above methyl ester in MeOH/H₂ O (3:1) (30 mL) at R.T. was added LiOH.H₂ O (0.80 g, 33.3 mmol). Reaction mixture was stirred for 1.5 h, quenched with 10 HCl (15 mL) then extracted with EA (2×40 mL). The combined organic layers were washed with sat. NaCl (3×15 mL), dried (MgSO₄) and concentrated in vacuo to afford the acid as a white solid (2.4 g, 94.3%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.88-0.97 (m, 12H), 1.49-1.75 (m, 6H), 2.23-2.25 (m, 2H), 4.58-4.65 (m, 1H), 5.98 (d, 1H, J=9 Hz) ppm.

To a stirred solution of the above acid (0.9 g, 3.9 mmol) in anhydrous CH₂ Cl₂ (15 mL) were added successively HOBT (1.1 g, 7.8 mmol), EDC (0.76 g, 3.98 mmol) and (2SR)-(3SR)-3-amino-1,1,1-trifluoro-2-heptanol (0.66 g, 3.6 mmol) (prepared as outlined in example 5). The reaction mixture was stirred for 18 h then washed with sat. NaHCO₃ (2×10 mL), 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel (EA:H; 1:3) afforded the title compound as a white solid (0.95 g, 67.2%): Reporting a mixture of diastereomers ¹ H NMR (CDCl₃, 300 MHz) δ 0.88-0.95 (ol-m, 15H), 1.31-1.83 (ol-m, 12H), 2.17-2.23 (m, 2H), 4.04-4.13 (ol-m, 2H), 4.40-4.48 (m, 1H), 6.04-6.36 (m, 1H), 6.95-7.23 (m, 1H) ppm.

EXAMPLE 9

Preparation of (SR)-N-Cbz-L-Leu-L-Leu N- 2-(phenylhexanol)!amide

To a stirred solution of N-BOC-L-Nle N-methoxy-N-methylamide (1.0 eq) in anhydrous THF at -78° C. under Ar is added slowly a solution of lithium 4-fluorobenzene (3 eq) generated in situ. The reaction mixture is gradually warmed to R.T. After 3 h, 1N HCl is added to the reaction mixture, and then extracted with EA. The combined organic layers are washed with 1N HCl, sat. NaHCO₃, sat. NaCl, dried (MgSO₄), filtered and concentrated in vacuo to afford a crude residue. The residue is purified by flash chromatography on silica gel to give the ketone derivative.

The above intermediate (1.0 eq) is treated with 4N HCl in dioxane at R.T. The reaction mixture is stirred for 1.5 h then concentrated in vacuo. The solid is treated with anhydrous ether and concentrated in vacuo to give 2S-amino-phenylhexanone hydrochloride.

To a stirred solution of 2S-amino-phenylhexanone hydrochloride (1.0 eq) in CH₂ Cl₂ at R.T. is added successively N-Cbz-L-Leu-L-Leu-OH (1.2 eq), HOBT (2.2 eq) and EDC (1.1 eq). The reaction mixture is stirred for 18 h then washed with sat. NaHCO₃, 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the peptide ketone intermediate.

To a stirred solution of the above intermediate (1.0 eq) in MeOH at R.T. is added NaBH₄ (1.0 eq). The reaction mixture is stirred for 3 h, then taken up in EA washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the title compound.

EXAMPLE 10

Preparation of of (2SR)-(3S)-N-Cbz-L-Leu N- 3-(1,1,1-trifluoro-2-butanol)!amide

To a stirred solution of N-BOC-L-Ala N-methoxy-N-methylamide (1.0 eq) in anhydrous THF at 0° C. under Ar is added lithium aluminum hydride (LiAlH₄) (1.0 eq). After 1 h the reaction mixture is treated with 1N HCl then taken up in EA. The organic layer is washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄), filtered and concentrated. The resulting aldehyde is used in the next step without further purification.

To a stirred solution of the above aldehyde (1.0 eq) in anhydrous THF at 0° C. under Ar is added (trifluoromethyl)trimethylsilane (1.2 eq) in anhydrous THF followed by a catalytic amount of tetrabutylammonium fluoride (TBAF). The resulting siloxy compound is hydrolyzed with 1N HCl. The reaction mixture is taken up in EA. The organic layer is washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel gives the N-BOC trifluoromethyl alcohol.

The above intermediate (1.0 eq) is treated with 4N HCl in dioxane at R.T. The reaction mixture is stirred for 1.5 h then concentrated in vacuo. The solid is treated with anhydrous ether and concentrated in vacuo to give (2SR)-(3S)-3-amino-1,1,1-trifluoro-2-butanol hydrochloride.

To a stirred solution of (2SR)-(3S)-3-amino-1,1,1-trifluoro-2-butanol hydrochloride (1.0 eq) in CH₂ Cl₂ at R.T. is added successively N-Cbz-L-Leu-L-Leu-OH (1.2 eq), HOBT (2.2 eq) and EDC (1.1 eq). The reaction mixture is stirred for 18 h then washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the title compound.

EXAMPLE 11

Preparation of (3SR)-(4S)-N-Cbz-L-Leu-L-Leu N- 4-(ethyl 2,2-difluoro-3-hydroxy-octanoate)!amide

To a stirred solution of N-BOC-L-Nle N-methoxy-N-methylamide (1.0 eq) in anhydrous THF at 0° C. under Ar is added LiAlH₄ (1.0 eq). After 1 h the reaction mixture is treated with 1N HCl then taken up in EA. The organic layer is washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄), filtered and concentrated. The resulting aldehyde is used in the next step without further purification.

To stirred solution of the freshly prepared above aldehyde (1.0 eq) and ethyl bromodifluoroacetate (3.0 eq) in anhydrous THF at R.T. under Ar is added Zn powder (4.0 eq). The reaction mixture is placed in a sonication bath at R.T. for 1 h. The reaction is poured onto ice/H₂ O and the resulting slurry is filterd through celite, washing with ether. The aqueous layer is separated and extracted with EA. The combined organic layers are washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄), filtered and concentrated. The crude residue is purified by flash chromatography on silcal gel to give the α,α-difluoro-β-hydroxy-ethyl ester product.

The above intermediate (1.0 eq) is treated with 4N HCl in dioxane at R.T. The reaction mixture is stirred for 1.5 h then concentrated in vacuo. The solid is treated with anhydrous ether and concentrated in vacuo to give the hydrochloride adduct.

To a stirred solution of the above hydrochloride product (1.0 eq) in CH₂ Cl₂ at R.T. is added successively N-Cbz-L-Leu-L-Leu-OH (1.2 eq), HOBT (2.2 eq) and EDC (1.1 eq). The reaction mixture is stirred for 18 h then washed with sat. NaHCO₃, 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the title compound.

EXAMPLE 12

Preparation of N-BOC-(4S)-4-amino-1,1,1-trifluoro-2,2-difluoro-3-octanone

To a stirred solution of N-BOC-L-Nle N-methoxy-N-methylamide (1.0 eq) in anhydrous ether at -78° C. under Ar is added condensed pentafluoroethyl iodide (CF₃ CF₂ I) (4.0 eq). To this mixture is added methyllithium-lithium bromide (CH₃ Li-LiBr) complex (4.0 eq) at a rate which maintains an internal reaction temperature below -65° C. The reaction mixture is stirred for 2 h at -65° to -78° C., then poured onto H₂ O. The aqueous phase is acidified with 1N HCl (pH=3). The aqueous phase is extracted with ether. The combined organic layers are washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the pentylfluoroethyl ketone, the title compound.

EXAMPLE 13

Preparation of (4S)-(3SR)-N-Cbz-L-Leu-L-Leu N- 4-(1,1,1-trifluoro-2,2-difluoro-3-octanol)!amide

N-BOC-(4S)-4-amino-1,1,1-trifluoro-2,2-difluoro-3-octanone, prepared in example 12, is treated with 4N HCl in dioxane at R.T. The reaction mixture is stirred for 1.5 h then concentrated in vacuo. The solid is treated with anhydrous ether and concentrated in vacuo to give the hydrochloride adduct.

To a stirred solution of the above hydrochloride product (1.0 eq) in CH₂ Cl₂ at R.T. is added successively N-Cbz-L-Leu-L-Leu-OH (1.2 eq), HOBT (2.2 eq) and EDC (1.1 eq). The reaction mixture is stirred for 18 h then washed with sat. NaHCO₃, 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the pentafluoroethyl ketone peptide.

To a stirred solution of the above ketone (1.0 eq) in MeOH at R.T. is added NaBH₄ (1.0 eq). The reaction mixture is stirred for 3 h, then taken up in EA washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the title compound.

EXAMPLE 14

Preparation of (3SR)-(4S)-N-Cbz-L-Leu-L-Leu N- 4-1,1,1-trifluoro-2,2-difluoro-3-methyl-3-octanol)!amide

To a stirred solution of N-BOC-(4S)-4-amino-1,1,1-trifluoro-2,2-difluoro-3-octanone (1.0 eq), prepared in example 12, in anhydrous THF at -78° C. under Ar is added a 3.0M solution of methylmagnesium chloride in THF (2.2 eq). The mixture is allowed to warm to R.T. After 1 h, the reaction mixture is treated with 1N HCl and extracted with EA. The combined organic layers are washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the desired tertiary alcohol.

The above tertiary alcohol (1.0 eq) is treated with 4N HCl in dioxane at R.T. The reaction mixture is stirred for 1.5 h then concentrated in vacuo. The solid is treated with anhydrous ether and concentrated in vacuo to give the hydrochloride adduct.

To a stirred solution of the above hydrochloride product (1.0 eq) in CH₂ Cl₂ at R.T. is added successively N-Cbz-L-Leu-L-Leu-OH (1.2 eq), HOBT (2.2 eq) and EDC (1.1 eq). The reaction mixture is stirred for 18 h then washed with sat. NaHCO₃, 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the the title compound.

EXAMPLE 15

Preparation (2SR)-(3SR)-N-Cbz-L-Leu-L-Leu N- 3-(1,1,1-trifluoro-2-methyl-2-heptanol)!amide

To a stirred solution of (2SR)-(3SR)-3-amino-1,1,1-trifluoro-2-heptanol (1.0 eq) (as prepared in example 5) in anhydrous CH₂ Cl₂ (20 mL) at R.T. under Ar are added (BOC)₂ O (1.1 eq), DMAP (cat.) and Et₃ N (2.0 eq). After 1 h, the reaction mixture is washed with sat. NaHCO₃, 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the the N-BOC protected compound.

To a stirred solution of the above product (1.0 eq) in 1:1 CH₂ Cl₂ :THF at R.T. under Ar is added trifluoroacetic acid (TFA) (3.0 eq) and the Dess-Martin reagent (3.0 eq). The reaction mixture is stirred for 12 h and concentrated in vacuo. The resulting residue is treated with a mixture of EA, sat. NaHCO₃ and saturated aqueous sodium thiosulfate (sat. Na₂ S₂ O₃). The organic layer is separated and washed sat. NaHCO₃, sat. Na₂ S₂ O₃, sat. NaCl, dried (MgSO₄), filtered and concentrated. The residue is purifed by flash chromatography on silica gel to give the desired trifluoromethyl ketone.

To a stirred solution of the above trifluoromethyl ketone (1.0 eq) in anhydrous THF at -78° C. under Ar is added a 3.0M solution of methylmagnesium chloride in THF (2.2 eq). The mixture is allowed to warm to R.T. After 1 h, the reaction mixture is treated with 1N HCl and extracted with EA. The combined organic layers are washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the desired tertiary alcohol.

The above tertiary alcohol (1.0 eq) is treated with 4N HCl in dioxane at R.T. The reaction mixture is stirred for 1.5 h then concentrated in vacuo. The solid is treated with anhydrous ether and concentrated in vacuo to give the hydrochloride adduct.

To a stirred solution of the above hydrochloride product (1.0 eq) in CH₂ Cl₂ at R.T. is added successively N-Cbz-L-Leu-L-Leu-OH (1.2 eq), HOBT (2.2 eq) and EDC (1.1 eq). The reaction mixture is stirred for 18 h then washed with sat. NaHCO₃, 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the the title compound.

EXAMPLE 16

Preparation of (2SR)-(3S)-N-Cbz-L-Leu-L-Leu N- 3-(1-(1'-phenyl-3'(trifluoromethyl)-pyrazoloxy)-2-heptanol)!amide

To the N-Cbz-L-Nle-CHN₂ (1.0 eq) is added HBr (g) and pyridine (5 mL). The mixture is taken up in EA and washed with 1N HCl, sat. NaHCO₃, sat. NaCl, dried (MgSO₄), filtered and concentrated to give the bromomethyl ketone.

To a solution of the bromomethyl ketone (1.0 eq) in anhydrous dimethylformamide (DMF) under Ar at R.T. is added 5-hydroxy-1-phenyl-3-(trifluoromethyl)-pyrazole (2.0 eq) and potassium fluoride (2.0 eq). The reaction mixture is stirred at R.T. for 16 h, and extracted with EA. The combined organic layers are washed with sat. NaCl, sat. NaHCO₃, 1N HCl, dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the furfurylthio-derivative. The derivative is treated with H₂ /Pd(C) in MeOH to give the free amine.

To a solution of the above free amine (1.0 eq) in anhydrous CH₂ Cl₂ at R.T. under Ar is added HOBT (2.0 eq), EDC (1.0 eq), Et₃ N (1.0 eq) and N-Cbz-L-Leu-L-Leu-OH (1.1 eq). After 6 h the reaction mixture is washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄) filtered and concentrated. Purification by flash chromatography on silica gel gives the ketone.

To a stirred solution of the ketone in methanol at 0° C. is added NaBH₄ (1.0 eq). After 1 h the reaction mixture is warmed to R.T. The reaction mixture is stirred for 4 h, at R.T, then quenched by the addition of 1N HCl (1 mL), concentrated, and extracted with EA. The combined organic layers are washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel gives the title alcohol.

EXAMPLE 17

Preparation of (2SR)-H-L-Leu N- 2-(ethyl 4-methyl-4-pentenoate)!amide Hydrochloride

To a stirred solution of ethyl 2-amino-4-methyl-4-pentenoate hydrochloride (as prepared in example 2) (0.70 g, 3.6 mmol) in CH₂ Cl₂ (10 mL) at R. T. under were added N-BOC-L-Leu-OH (1.0 g, 4.0 mmol), HOBT (1.19 g, 7.9 mmol), EDC (0.76 g, 4.0 mmol) and Et₃ N (0.55 mL, 4.0 mmol). The reaction mixture was taken up in additional CH₂ Cl₂ (20 mL) and washed with sat. NaHCO₃ (2×10 mL), 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. The resulting residue was purified by flash chromatography on silica gel (EA:H; 1:1) to afford the dipeptide ethyl ester as a white solid (1.05 g, 78.6%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.92-0.97 (m, 6H), 1.25-1.30 (t, 3H, J=6 Hz), 1.44-1.74 (m, 15H), 2.37-2.57 (m, 2H), 4.15-4.22 (m, 2H), 4.64-4.94 (m, 4H) ppm.

To the above ester (1.0 g, 2.7 mmol) was added 4N HCl/dioxane (15 mL), stirred at R.T. for 4 h, then the solvent was removed. Co-evaporation with ether (3×5 mL) yielded the title compound as a white solid (0.8 g, 96.3%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.89-1.00 (m, 6H), 1.21-1.31 (m, 3H), 1.44-1.84 (m, 6H), 2.34 (m, 2H), 4.16-4.75 (m, 4H) ppm.

EXAMPLE 18

Preparation of (2SR)-N- (2S)-2-benzoxy-4-methylpentanoyl!-L-Leu N- 2-(4-methyl-4-pentenol)!amide

To a stirred solution of L-Leu-OH (5.0 g, 38.2 mmol) in 1N H₂ SO₄ (50 mL) at 0° C. was slowly added over 11/2 h a solution of sodium nitrite (NaNO₂) (7.5 g, 0.11 mmol) in water (20 mL) while maintaining the temperature at 0° C. The reaction mixture was gradually warmed to R.T., stirred for 24 h, and concentrated to give a white solid. The solid was extracted with ether (5×50 mL). The combined organic layers were dried (MgSO₄), filtered and concentrated to give (2S)-2-hydroxy-4-methylpentanoic acid as an oil (4.1 g, 81.2%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.98 (d, 6H, J=12.0 Hz), 1.57-1.67 (m, 2H), 1.82-1.93 (m, 1H), 4.36 (t, 1H, J=6.0 Hz) ppm.

To a stirred solution of the acid (4.0 g, 30.5 mmol) in anhydrous DMF (20 mL) at R. T. under Ar was added cesium carbonate (Cs₂ CO₃) (12.9 g, 40.0 mmol) and methyl iodide (5.7 g, 40.0 mmol). The reaction mixture was stirred for 16 h then taken up in EA (100 mL). The organic layer was washed with sat. NaHCO₃ (3×20 mL), 1N HCl (2×20 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel (EA:H; 1:4) gave methyl (2S)-2-hydroxy-4-methylpentanoate as a colorless oil (2.5 g, 57%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.94-1.01 (m, 6H), 1.56-1.74 (m, 2H), 1.87-1.96 (m, 1H), 3.79 (s, 3H), 4.24 (q, 1H, J=6.0 Hz) ppm.

To a stirred solution of methyl (2S)-2-hydroxy-4-methylpentanoate (0.5 g, 3.4 mmol) in anhydrous CH₂ Cl₂ (10 mL) at R.T. under Ar was added benzyl 2,2,2-trichloroacetimidate (1.4 mL, 6.8 mmol) and trifluoromethylsulfonic acid (25 μl). After 30 min the reaction mixture was taken up in CH₂ Cl₂ (20 mL). The organic layer was washed with sat. NaCl (2×10 mL), 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄). filtered and concentrated. Purification by flash chromatography on silica gel (EA:H; 1:10) afforded methyl (2S)-2-benzoxy-4-methylpentanoate as an oil (0.6 g, 73.5%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.80-0.98 (m, 6H), 1.40-1.58 (m, 1H), 1.69-1.87 (m, 2H), 3.74 (s, 3H), 3.93-4.06 (m, 1H), 4.42 (d, 1H, J=12.0 Hz), 4.68-4.80 (m, 1H), 7.14-7.32 (m, 5H) ppm.

To the above methyl (2S)-2-benzoxy-4-methylpentanoate (0.69 g, 2.92 mmol) in MeOH/H₂ O (5 mL/1 mL) was added LiOH.H₂ O (0.28 g, 11.7 mmol) and 30% H₂ O₂ (0.3 mL, 11.7 mmol). After stirring the reaction mixture for 24 h, the mixture was treated with 1N HCl (pH=3) and the methanol was removed in vacuo. The aqueous layer was extracted with EA (4×15 mL). The combined organic layers were washed with 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. (2S)-2-benzoxy-4-methylpentanoic acid was isolated as a colorless oil (0.65 g, 100%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.82-1.60 (m, 6H), 1.53-1.62 (m, 1H), 1.73-1.90 (m, 2H), 3.99-4.50 (m, 1H), 4.46 (d, 1H, J=12.0 Hz), 4.72 (d, 1H, J=12.0 Hz) 7.10-7.26 (m, 5H) ppm.

To a solution of the product from example 17 (0.5 g, 1.63 mmol) in anhydrous CH₂ Cl₂ (10 mL) at R.T. under Ar was added the above acid (0.4 g, 1.8 mL), HOBT (0.24 g, 1.8 mmol), EDC (0.35 g, 1.8 mmol) and Et₃ N (0.25 mL, 1.8 mmol). After 16 h the reaction mixture was washed with sat. NaHCO₃ (2×10 mL), 1N HCl (2×10 ml), sat. NaCl (2×10 mL) dried (MgSO₄), filtered and concentrated. Purification by flash chromatography afforded the ethyl ester (0.5 g, 62.5%): Reporting a mixture of diastereomers ¹ H NMR (CDCl₃, 300 MHz) δ 0.76 (t, 3H, J=6.0 Hz), 0.91-0.99 (ol-m, 12H), 1.22-1.9 (ol-m, 9H), 2.05-2.18 (ol-m, 1H), 2.34-2.43 (ol-m, 1H), 3.71-4.95 (ol-m, 9H), 7.20-7.38 (ol-m, 5H) ppm.

To a solution of the ester (0.5 g, 1.0 mmol) in anhydrous THF (10 mL) at R.T. under Ar was added LiBH₄ (0.02 g, 1.0 mmol). Reaction mixture was stirred for 4 h then quenched by the addition of 1N HCl (1 mL), concentrated, and extracted with EA (3×10 mL). The combined organic layers were washed with sat. NaHCO₃ (2×10 mL), 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel (EA:H; 1:3) gave the title alcohol as an oil (0.13 g, 30%): Reporting a mixture of diastereomers ¹ H NMR (CDCl₃, 300 MHz) δ 0.72-0.98 (ol-m, 2H), 1.10-2.21 (ol-m, 11H), 3.58-4.92 (ol-m, 9H), 7.0-7.50 (ol-m, 7H) ppm.

EXAMPLE 19

Preparation of (2SR)-(3S)-N-Cbz-L-Leu-Leu N- 3-(2-hydroxy-heptanoic acid)!amide

To a stirred solution of N-BOC-L-Nle N-methoxy-N-methylamide (1.0 eq) in anhydrous THF (10 mL) at 0° C. under Ar is added LiAlH₄ (1.0 eq), and stirred for 3 h at 0° C. followed by the addition of 1N HCl (1 mL). The mixture is taken up in EA then washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄), filtered and concentrated to afford the N-BOC-L-norleucinal as a crude residue. To the residue is added an ice-cold solution of NaHSO₃ (8 eq) and the mixture is stirred for 24 h at 5° C. To the resulting suspension is added EA and an aqueous potassium cyanide solution (KCN) (8 eq). The reaction mixture is stirred at R.T. for 4 h. The organic phase is washed with water and concentrated to give the cyanohydrin.

The cyanohydrin is hydrolyzed in 4N HCl/dioxane under reflux for 12 h. The solvent is removed and the residue is washed with anhydrous ether to give the hydrolyzate. To a stirred solution of N-Cbz-L-Leu-Leu-OH (1.0 eq) in anhydrous CH₂ Cl₂ under Ar at R.T. is added CDI (1.1 eq). After 30 min of stirring Et₃ N (2 eq) and the hydrolyzate (1.0 eq) is added. The mixture is stirred for 6 h, then concentrated. The residue is trituated with 1N HCl washed with water and dried in vacuo to afford the title compound.

EXAMPLE 20

Preparation of (2SR)-(3S)-N-Cbz-L-Leu-L-Leu N- 3-(methyl 2-hydroxy-heptanoate)!amide

To the product obtained from example 19 in anhydrous ether at 0° C. is added diazomethane. After 3 h the solvent is removed and the residue is purified by flash chromatography on silica gel to give the desired product.

EXAMPLE 21

Preparation of (2SR)-(3S)-N-Cbz-L-Leu-L-Leu N- 3-(benzyl 2-hydroxy-heptamide)!amide

To the product of example 19 in anhydrous CH₂ Cl₂ under Ar at R.T. is added HOBT (1.0 eq), EDC (1.0 eq), Et₃ N (1.0 eq) and benzylamine (1.0 eq). After 6 h the reaction mixture is washed with sat. NaHCO₃, sat. 1N HCl, sat. NaCl, dried (MgSO₄), filtered and concentrated. The residue is purified by flash chromatography on silica gel to afford the desired product.

EXAMPLE 22

Preparation of (3SR)-(4S)-N-Cbz-L-Leu-L-Leu N- 4-(benzyl 3-hydroxy-octamide)!amide

To a solution of N-BOC-L-norleucinal (1.0 eq), prepared by reducing N-BOC-L-Nle N-methoxy-N-methylamide as described in example 19, in THF at -78° C. under Ar is added ethyl lithioacetate (2.2 eq) prepared in situ by the addition of nBuLi (2.2 eq) to excess anhydrous ethyl acetate. After 3 h, the reaction mixture is treated with 1N HCl, and the organic layer is washed with 1N HCl, sat. NaHCO₃. sat. NaCl, dried (Mg SO₄), filtered and concentrated. Purification by flash chromatography on silica gel gives the ester.

The ester is treated with 4N HCl/dioxane for 30 min, and the concentrated in vacuo. The resulting solid is taken up in anhydrous ether and concentrated in vacuo to give the hydrochloride. The hydrochloride is used without further purification in the next step.

To the hydrochloride (1.0 eq) in anhydrous CH₂ Cl₂ at R.T. under Ar is added HOBT (2.0 eq), EDC (1.0 eq), Et₃ N (1.0 eq) and N-Cbz-L-Leu-Leu-OH (1.1 eq). After 6 h, the organic is washed with sat. NaHCO₃, 1N HCl, dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel gives the ester.

To a stirred solution of the above ester (1.0 eq) in MeOH-H₂ O is added LiOH.H₂ O (2 eq) and H₂ O₂ (1.0 eq). After 4 h the reaction is quenched by the addition of 10% HCl and then extracted with EA (2 ×). The combined organic layers are washed with sat. NaCl, dried (MgSO₄) and concentrated to give the acid.

To a solution of the acid (1.0 eq) in anhydrous CH₂ Cl₂ at R.T. under Ar is added EDC (1.0 eq), HOBT (1.0 eq), Et₃ N (1.0 eq) and benzylamine (1.1 eq). The reaction mixture is stirred for 3 h, washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄), filtered, concentrated and purified by flash chromatography on silica gel affords the title compound.

EXAMPLE 23

Preparation of (2SR)-(3S)-N-Cbz-L-Leu-L-Leu N- 3-(1-furfylthio-2-heptanol)!amide

To the N-Cbz-L-Nle-CHN₂ (1.0 eq) is added HCl(g) and pyridine (5 mL). The mixture is taken up in EA and washed with 1N HCl, sat. NaHCO₃, sat. NaCl, dried (MgSO₄), filtered and concentrated to give the chloromethyl ketone.

To a solution of the chloromethyl ketone (1.0 eq) in anhydrous THF under Ar at R.T. is added furfuryl mercaptan (2.0 eq) and Et₃ N (2.0 eq). The reaction mixture is stirred at R.T. for 16 h, and extracted with EA. The combined organic layers are washed with sat. NaCl, sat. NaHCO₃, 1N HCl, dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel affords the furfurylthio-derivative. The derivative is treated with H₂ /Pd(C) in MeOH to give the free amine.

To a solution of the above amine (1.0 eq) in anhydrous CH₂ Cl₂ at R.T. under Ar is added HOBT (2.0 eq), EDC (1.0 eq), Et₃ N (1.0 eq) and N-Cbz-L-Leu-L-Leu-OH (1.1 eq). After 6 h the reaction mixture is washed with sat. NaHCO₃, 1N HCl, sat. NaCl, dried (MgSO₄) filtered and concentrated. Purification by flash chromatography on silica gel gives the ketone.

To a stirred solution of the ketone in methanol at 0° C. is added NaBH₄ (1.0 eq). After 1 h the reaction mixture is warmed to R.T. The reaction mixture is stirred for 4 h, at R.T, then quenched by the addition of 1N HCl (1 mL), concentrated, and extracted with EA (3×10 mL). The combined organic layers arre washed with sat. NaHCO₃ (2×10 mL), 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel (EA:H; 1:3) gave the title alcohol.

EXAMPLE 24

Preparation of (2SR)-N- (2R)- 2-(1'-phenyl-1'-propene)-4-methylpentanoyl!!-L-Leu N- 2-(4-methyl-4-pentenol)!amide

To a stirred solution of 4-methylvaleric acid (10.8 mL, 86.1 mmol) in anhydrous CH₂ Cl₂ (25 mL) was added thionyl chloride (25 mL, 0.34 mmol). The mixture was placed under reflux for 24 h. Then solvent and excess thionyl chloride was removed in vacuo to give the acid chloride as an oil (10.2 g,90%). The acid chloride was used directly in the next step.

To the acid chloride (2.7 g, 20.3 mmol) in anhydrous CH₂ Cl₂ (50 mL) at R.T. under Ar was added DMAP (0.10 g), Et₃ N (4.6 mL, 33.8 mmol) and (4S, 5R)-(-)-4-methyl-5-phenyl-2-oxazolidinone (3.0 g, 16.9 mmol). The reaction mixture was stirred for 16 h then washed with 1N HCl (2×10 mL), sat. NaHCO₃ (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification by flash chromatography on silica gel (EA:H; 1:20) afforded the imide as an oil (2.8 g, 61%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.80-1.10 (m, 9H), 1.60-1.90 (m, 3H), 2.40-2.55 (m, 2H), 4.80-4.90 (m, 1H), 5.70-5.80 (m, 1H), 7.20-7.50 (m, 5H) ppm.

To a solution of the imide (2.5 g, 9.14 mmol) in anhydrous THF (40 mL) at -78° C. under Ar was slowly added a 1.5M solution of lithium diisopropylamide (LDA) in anhydrous THF (6.0 mL, 9.14 mmol) followed by cinnamyl bromide (1.8 g, 9.14 mL) in anhydrous THF (10 mL). The reaction mixture was stirred at -78° C. for 1 h then gradually warmed to R.T. Stirring was continued at R.T. for 1 h then the mixture was treated with 1N HCl (5 mL). The solvent was removed and the aqueous was taken up in EA (70 mL). The aqueous was separated and the organic was washed with sat. NaCl (2×10 mL), 1N HCl (2×10 mL), sat. NaHCO₃ (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄) filtered and concentrated. Purification by flash chromatography on silica gel (EA:H; 1:4) afforded the alkylated derivative as an oil (3.5 g, 98.7%): ¹ H NMR (CDCl₃, 300 Mhz) δ 0.73 (d, 3H, J=6.0 Hz), 0.80-0.92 (m, 6H), 1.14-1.40 (m, 1H), 1.48-1.79 (m, 1H), 1.75-1.84 (m, 1H), 2.42 (m, 2H), 4.10-4.20 (m, 1H), 4.71-4.78 (m, 1H), 5.28 (d, 1H, J=9.0 Hz), 6.35 (m, 1H), 6.45 (m, 1H), 7.21-7.25 (m, 5H) ppm.

To a solution of the above product (0.65 g, 1.66 mmol) in 3:1 MeOH:H₂ O (20 mL) at R.T. was added LiOH.H₂ O (0.61 g, 4.98 mmol) and 30% H₂ O₂ (0.83 mL). The reaction mixture was stirred for 4 h. The mixture was cooled to 0° C. and quenched by the addition of 1M Na₂ S₂ O₃ (1.6 mL) and allowed to warm to R.T. After 14 h the resulting solution was poured onto sat. NaHCO₃ (20 mL). The aqueous was extracted with CH₂ Cl₂ (3×30 mL) then acidified with 1N HCl (pH=3). The aqueous was then extracted with CH₂ Cl₂ (3×20 mL) and the combined organics were dried (MgSO4), filtered and concentrated. The residue was purified by flash chromatography on silica gel (EA:H; 1:1) to give (2S)-2-(1'-phenyl-1'-propene)-4-methylpentanoic acid as an oil (0.30 g, 78.0%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.88-1.01 (m, 6H), 1.29-1.42 (m, 3H), 1.59-1.70 (m, 2H), 2.55 (m, 3H), 6.13 (m, 1H), 6.47 (d, 1H, J=6.0 Hz), 7.31-7.40 (m, 5H) ppm.

To a stirred solution of L-Leu-OMe HCl (0.14 g, 0.70 mmol) and (2S)-2-(1'-phenyl-1'-propene)-4-methylpentanoic acid (0.16 g, 0.69 mmol) in anhydrous CH₂ Cl₂ (15 mL) at R.T. were added HOBT (0.19 g, 1.38 mmol), EDC (0.15 g, 0.78 mmol) and Et₂ N (0.91 mL, 0.70 mmol). After 16 h the reaction mixture was washed with sat. NaHCO₃ (2×10 mL), 1N HCl (×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification of the crude residue by flash chromatography on silica gel (EA:H; 1:1) afforded the methyl ester as an oil (0.24 g, 95%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.76-0.78 (d, 3H, J=6.0 Hz), 0.82-1.06 (m, 3H), 1.26-1.41 (m, 1H), 1.44-1.72 (m, 2H), 2.22-2.30 (m, 2H), 2.35-2.46 (m, 1H) 3.72 (s, 3H), 4.57 (m, 1H), 6.16 (m, 1H), 6.43 (m, 1H), 7.25-7.41 (m, 5H) ppm.

To the above methyl ester (0.28 g, 0.78 mmol) in MeOH-H₂ O (15 mL-5 mL) with stirring at 0° C. was added 1N LiOH.H₂ O (0.95 mL) and 30% H₂ O₂ (1.4 mL). After 2 h 1N HCl (4 mL) was added and the aqueous layer was extracted with EA (3×30 mL). The combined organics were washed with sat. NaCl (2×20 mL), dried (MgSO₄), filtered and concentrated to give a crude residue. Purification by flash chromatography on silica gel (EA:H; 1:1) afforded the acid as an oil (0.21 g, 0.61 mmol): ¹ H NMR (CDCl₃, 300 MHz) δ 0.59-1.10 (m, 12H), 1.12-1.71 (m, 6H), 2.60-2.63 (m, 3H), 4.45 (m, 1H), 6.21 (m, 1H) 6.40 (m, 1H), 7.25-7.41 (m, 5H) ppm.

To a stirred solution of the acid (0.25 g, 0.72 mmol) and ethyl 2-amino-4-methyl-4-pentenoate (0.16 g, 0.8 mmol) in anhydrous CH₂ Cl₂ (15 mL) at R.T. were HOBT (0.19 g, 1.44 mmol), EDC (0.15 g, 0.79 mmol) and Et₃ N (0.12 mL, 0.80 mmol). After 4 h the reaction mixture was washed with sat. NaHCO₃ (2×10 mL), 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. The residue was purified by flash chromatography on silica gel (EA:H; 1:1) to (2SR)- (2R)- 2-(1'-phenyl-1'-propene)-4-methyl pentanoyl!!-L-Leu N- 2-(ethyl 4-metyl-4-pentenoate)!amide as a solid (0.18 g, 51%): ¹ H NMR CDCl₃, 300 MHz) δ 0.81-1.10 (m, 12H), 1.30-1.73 (m, 15H), 2.27-2.51 (m, 2H), 4.14-4.17 (m, 2H), 4.22-4.49 (m, 2H), 4.59 (m, 1H), 6.21 (m, 1H), 6.43 (m, 1H), 7.17-7.19 9m, 2H), 7.25-7.41 (m, 5H) ppm.

To the above ethyl ester (0.3 g, 0.62 mmol) in anhydrous THF (20 mL) at 0° C. under Ar with stirring was added LiBH₄ (47 mg, 2.15 mmol). After 30 min at 0° C. the reaction mixture was warmed to R.T. Stirring was continued for 2 h then quenched with 1N HCl (2 mL). The mixture was extracted with EA (3×10 mL). The combined organics were washed with sat. NaHCO₃ (2×10 mL), 1N HCl (2×10 mL), sat. NaCl (2×10 mL), dried (MgSO₄), filtered and concentrated. Purification of the crude by flash chromatography on silica gel (EA) to give the alcohol as an oil (0.24 g, 87%): ¹ H NMR (CDCl₃, 300 MHz) δ 0.72-1.02 (m, 12H), 1.20-1.86 (m, 13H), 2.21-2.56 (m, 4H), 3.60-3.68 (m, 2H), 4.21-4.25 (m, 1H), 4.80-4.85 (m 1H), 6.10-6.15 (m, 1H), 6.45-6.50 (m, 1H), 7.17-7.19 (m, 2H), 7.25-7.35 (m, 5H) ppm.

EXAMPLE 25

Preparation of (2SR)-N-Ac-L-Leu-L-Leu N 2-(trans-4-hexanol)!amide

The title compound isolated as a white solid (1.4 g, 80.3%) following the procedure outlined in example 3: Reporting a mixture of diastereomers ¹ H NMR (CDCl₃, 300 MHz) δ 0.89-0.97 (ol-m, 12H), 1.53-1.80 (ol-m, 9H), 2.00-2.32 (ol-m, 5H), 3.49-3.90 (ol-m, 3H), 4.31-4.71 (ol-m, 2H), 5.33-5.56 (ol-m, 2H), 6.95-8.10 (ol-m, 3H) ppm.

EXAMPLE 26

Preparation of (2SR)-N-Ac-L-Leu-L-Leu N- 2-(4-methyl-4-pentenol)!amide

The title compound was isolated as a white solid (0.9 g, 62.0%) following substantially the same procedure described in example 3: Reporting a mixture of diastereomers ¹ H NMR (CDCl₃, 300 MHz) δ 0.86-0.91 (ol-m, 12H), 1.58-1.72 (ol-m, 9H), 1.98-2.02 (d, 3H), 4.26-4.42 (ol-m, 3H), 4.62-4.80 (ol-m, 2H), 6.00-6.05 (m, 1H), 6.70-6.82 (ol-m, 2H), 9.53-9.55 (d, 1H) ppm.

EXAMPLE 27

Preparation of N-Dansyl-L-Leu-L-Leu-DL-norleucinol

The title compound was isolated as a pale yellow solid (0.13 g) using the methodology described in Example 3.

EXAMPLE 28

Preparation of N-Ac-L-Phe-L-Leu-DL-norleucinol

The title compound N-Ac-L-Phe-L-Leu-DL-norleucinol was obtained as a white solid (0.19 g) following substantially the same procedure described in Example 3.

EXAMPLE 29

ASSAYS FOR IDENTIFICATION OF COMPOUNDS HAVING ACTIVITY AS MODULATORS OF THE PROCESSING OF APP

A. Immunoblot assay for Aβ peptide

Human glioblastoma cells (ATCC Accession No. HTB16) were stably transfected with a DNA expression vector encoding a 695 amino acid isoform variant of the amyloid precursor protein (APP) containing the familial Swedish double mutations at codons 670 and 671 (K to N and M to L, respectively; see Mullan et al. (1992) Nature Genet. 1:345-347) and an additional mutation at codon 717 (V to F; see Murrell et al. (1991) Science 254:97-99) to produce cells designated HGB 717/Swed. High levels of Aβ are detectable in the conditioned medium isolated from HGb 717/Swed cultured cells. The medium also contains larger secreted fragments, α-sAPP₆₉₅, which are alternatively processed APP fragments whose generation precludes Aβ formation.

HGB 717/Swed cells were grown at 37° C. under a 5% carbon dioxide atmosphere in Dulbecco's modified eagle medium (DMEM; Gibco) supplemented with 10% heat-inactivated fetal calf serum, 0.45% glucose, 2 mM L-glutamine, 100 units/ml penicillin, and 100 μg/ml streptomycin sulfate (Gemini Bioproducts). Approximately 1×10⁶ cells were incubated overnight in 5 ml of DMEM containing varying μM final concentrations of desired test compounds or a DMSO control. Conditioned medium was collected, and unwanted cells and debris were removed by sedimentation at 3,000 rpm at 4° C.

Aβ peptides were isolated from the medium by immunoaffinity purification using an Aβ-specific antibody. To reduce the interaction of non-specific binding of unrelated proteins, such as serum proteins, to the Aβ antibody, the medium was pre-treated with rabbit antisera and Protein A Sepharose (Pharmacia) for 4 hours at 4° C. The sepharose-bound material was removed by centrifugation at 3,000 rpm at 4° C. for 10 min, and Aβ peptides were immunoaffinity purified from the clarified medium by incubation overnight with an affinity purified polyclonal rabbit antibody (referred to as 2939) prepared against a synthetic Aβ peptide corresponding to amino acids 1 to 28. Protein A-conjugated sepharose was added to immobilize the Aβ-antibody complexes, and the resin was pelleted by centrifugation at 3,000 rpm at 4° C. for 10 min. The Aβ-antibody complexes were eluted from the matrix by denaturing the complex by boiling in the presence of SDS.

Equal portions of each sample were loaded on 16% Tricine gels (Novex), and subjected to electrophoresis. Resolved proteins were transferred from the gel to Hybond nitrocellulose (Amersham, Arlington Heights, Ill.) by electroblotting, and incubated with the commercially available monoclonal antibody 6E10 (obtained from Drs. Kim and Wisniewski, Institute for Basic Research, NY, see, published International PCT application WO 90/12871), which specifically recognizes Aβ residues 1 to 17. Specifically bound antibody was detected using a biotinylated goat anti-mouse IgG secondary antibody (Sigma), followed by the addition of streptavidin conjugated to horseradish preoxidase (Amersham, Arlington Heights, Ill.), and documented by luminescent detection (Amersham). Levels of Aβ peptides were determined by laser densitometry of visualized films. A positive result in the assay is a decrease in the formation of the 4-kDa Aβ peptides relative to the DMSO control. Selected compounds provided herein were tested for and exhibited activity in this assay.

B. ELISA assay for total sAPP

Human glioblastoma cells (ATCC Acession No. HTB16) were stably transfected with a DNA expression vector encoding the 695 amino acid isoform of the amyloid precursor protein (APP₆₉₅). The resulting cells are designated HGB695 cells. High levels of secreted proteolytic processed fragments of APP₆₉₅ are detectable in the culture medium (sAPP₆₉₅).

Approximately 1×10⁵ cells were plated into 12-well dishes and were grown for 72 hours at 37° C. under a 5% carbon dioxide atmosphere in 1 ml of Dulbecco modified eagle medium (DMEM) supplemented with 10% heat-inactivated fetal calf serum, 0.45% glucose, and 100 units/ml penicillin, 100 μg/ml streptomycin sulfate and 2 mM L-glutamine. Following incubation, the medium was removed and 1 ml of supplemented DMEM medium containing 5 μl of DMSO or DMSO containing the desired test compound within a range about 5 to 100 μM (final concentration in the well), was added to each well, and incubation was continued for 24 hours. Unwanted cells and debris were removed by sedimentation at 3,000×g for 10 min at room temperature. Supernatants were stored at -20° C. for analysis.

The capture monoclonal antibody P2-1, which recognizes an epitope located in the amino terminus of APP (see, e.g., U.S. Pat. No. 5,270,165) was attached to the wells by incubating the antibody in the plate for 60 min at 37° C. The plates were washed three times with 0.3 ml of 0.1% Tween-20 in phosphate-buffered saline (PBS). The non-specific interaction of unrelated proteins (such as serum proteins that may interfere with the analysis) with the antibody was reduced by incubating the pre-treated wells for 30 min at 37° C. with a solution of 0.5% casein in PBS (150 μl/well). Wells were washed thoroughly with 0.1% Tween-20 in PBS prior to analysis of samples.

The conditioned medium supernatant was diluted 1:20 in 0.95 ml of 0.1% CHAPS (3- (3-cholamidopropyl)-dimethylammonio!-1-propanesulfonate) in PBS. Supernatant samples (100 μl/well) or sAPP standards (100 μl/well) of a range about 5 to 50 ng/ml were added to the pre-treated wells and incubated for 60 min at 37° C. The supernatant was removed and each sample well was washed as described above. A horseradish peroxidase (HRP) conjugated goat affinity purified antibody, raised against sAPP₆₉₅, was diluted in 0.1% Tween-20 in PBS and 10% goat serum and employed as the "signal antibody". The unbound antibody was removed by washing, and to each well, 0.1 ml of the chromagenic substrate K-Blue Solution (Elisa Technologies, Lexington, Ky.) was added and samples were incubated for 15 min at ambient temperature. Reactions were stopped by the addition of 0.1 ml of a 9.8% solution of phosphoric acid. The optical density of samples was measured by spectrophotometry at 450 nm. The concentration of sAPP₆₉₅ peptides in the conditioned medium was estimated from the sAPP₆₉₅ standard curve. Samples were analyzed in duplicate with the appropriate standards and reference controls i.e., a known drug, such as N-acetylleucylleucyinorleucinal of given potency and concentration!.

C. Cell lysate assay

In this assay, the effect of compounds on the modulation of the generation of partially processed C-terminal Aβ-containing amyloidogenic peptides is examined. HGB695 human glioblastoma cells were employed and grown in 12-well dishes essentially as described in Example 29B with the following modifications. The DMEM growth media were supplemented with varying μM concentrations of compounds or DMSO control and 100 μM leupeptin and 1 μM PMA phorbol ester and were incubated with cell cultures for 16 hours and cells were grown to approximately 2.5×10⁶ cells per well.

Harvested cells from each well were lysed in 100 μl of lysis buffer containing 50 mM Tris-HCl, pH 7.8, 150 mM NaCl, 1% NP-40, 0.1% SDS and 0.5% deoxycholate supplemented with 1 mM PMSF. Equal volumes of cell lysates in Laemmli SDS buffer were loaded onto 16% SDS-Tricine polyacrylamide gels (Novex) and subjected to electrophoresis. Separated proteins were transferred to supported nitrocellulose (BioRad) by electroblotting. Nonspecific binding of proteins to the nitrocellulose membrane was blocked by incubating in a solution of 5% non-fat dried milk in PBS. The nitrocellulose membrane was washed three times in PBS and then incubated in PBS containing a 1:5000 dilution of a rabbit polyclonal antibody raised against the C-terminal 19 amino acids of APP (provided by S. Gandy, Rockefeller University, NY). The nitrocellulose membrane was washed as described above and incubated with a secondary biotinylated goat anti-rabbit IgG antibody. Specifically bound antibody was detected using a streptavidin horseradish peroxidase conjugate, and visualized in combination with an enhanced chemoluminescent detection kit (Amersham). Potentially amyloidogenic peptides greater than 9 and less than 22 kDa were quantitated by densitometric scans of developed films within the linear range as described in Example 29B. A positive result for a compound in the cell lysate assay is denoted by a decrease in the levels of the protein bands greater than 9 and less than 22 kDa relative to the appropriate control samples.

D. ELISA assay for α-sAPP

Human HGB695 glioblastoma cells transfected with DNA encoding the 695 amino acid isoform of APP were grown and treated with test compound or DMSO as described in Example 29B. Medium from the cultured cells was also obtained as described in Example 29B and analyzed for α-sAPP in an ELISA assay as follows. The wells of a 96-well microtiter plate were coated with a monoclonal antibody that specifically recognizes the amino terminus of human sAPP (e.g., monoclonal antibody P2-1) by incubating the antibody in the plate for 60 min at 37° C. The plates were washed three times with 0.3 ml of 0.1% Tween-20 in PBS. The non-specific interaction of unrelated proteins (e.g., serum peptides that may interfere with the analysis) with the antibody was reduced by incubating the pre-treated wells with a solution of 0.5% casein in PBS for 30 min at 37° C. Wells were washed with 0.1% Tween-20 in PBS prior to analysis of media samples.

The conditioned media were diluted 1:20 in 0.95 ml of 0.1% CHAPS in PBS. Media samples (100 μl/well) or α-sAPP standards (100 μl/well) in a range of about 3 to 18 ng/ml were added to the wells for a 60 min incubation at 37° C. The solution was then removed and each sample well was washed as described above. A horseradish peroxidase-conjugated rabbit affinity purified antibody raised against a synthetic peptide consisting of the first 15 amino acids of Aβ (referred to as antibody 3369) was diluted in 0.1% Tween-20 in PBS plus 10% normal rabbit serum and added to the wells as the signal antibody. The plates were incubated for 60 min at 37° C. and then washed to remove unbound antibody. The chromogenic substrate K-Blue Solution (Elisa Technologies, Lexington Ky.) was added to the wells and allowed to incubate for 15 min at ambient temperature. The reactions were stopped by addition of 0.1 ml of a 9.8% solution of phosphoric acid. The optical density of the samples was measured by spectrophotometry at 450 nm. The concentration of α-sAPP in the media was estimated from the α-sAPP standard curve. Samples were analyzed in duplicate.

EXAMPLE 30

METHOD OF INDICATING ALZHEIMER'S DISEASE

Total s-APP and α-sAPP levels in cerebrospinal fluid (CSF) of normal subjects and members of a Swedish family carrying mutations of the APP gene at codons 670 and 671 (APP_(670/671)) were measured and compared. The APP_(670/671) mutation in the Swedish family is associated with a high incidence of early onset Alzheimer's disease (AD). The clinical diagnosis of AD in the Swedish family harboring the mutation was based on NINCDS-ADRDA criteria McKhann, et al. (1984) Neurology 34:939-944!. The diagnosis was confirmed by neuropathologic examination of the brain of one deceased mutation carrier Lannfelt, et al. (1994) Neurosci. Lett. 168:254-256!. Cognitive functioning was assessed with the Mini Mental State Examination (MMSE) Folstein, et al. (1975) J. Psychiatry Res. 12:189-198!. The presence or absence of the APP_(670/671) mutation was determined by polymerase chain reaction (PCR) nucleic acid amplification and restriction enzyme digestion according to a previously established procedure Lannfelt, et al. (1993) Neurosci. Lett. 153:85-87!.

Lumbar CSF was obtained from eight normal non-carriers in the family, two presymptomatic healthy mutation carriers, and four mutation carriers clinically symptomatic for AD. CSF samples were placed on ice, aliquoted and stored at -20° C. until tested.

A. Measurement of APP Levels

Total sAPP and α-sAPP levels in the CSF samples were quantitated using a sandwich enzyme-linked immunosorbent assay (ELISA) and immunoblotting followed by laser-scanning densitometry, respectively.

Standards used in the assays were obtained by isolation of total sAPP and α-sAPP from medium conditioned by human neuroblastoma IMR32 cells ATCC Accession No. CCL127! or the HGB695 cells, described above in Example 29B, as follows. Conditioned medium was filtered to remove large cell debris, and sAPP was extracted by passing the media over an anion exchange column using Toyopearl DEAE 650C resin (Toso-Hass, Philadelphia, Pa.). The bound sAPP was eluted from the column using a linear gradient of 0 to 0.6M NaCl in 50 mM sodium phosphate, pH 7.5. All sAPP-containing eluate fractions were pooled and loaded onto an immunoaffinity column containing a monoclonal antibody that specifically recognizes an amino-terminal epitope of human APP (for example, monoclonal antibody P2-1 raised against native human PN-2) see, e.g., U.S. Pat. No. 5,213,962! linked to Toyopearl AF-Tresyl 650M resin (Toso-Hass). Bound sAPP was eluted from the column with 0.1M sodium citrate, pH 2.0. To separate α-sAPP from the other soluble forms of sAPP contained in total sAPP that do not contain at least the amino-terminal portion of Aβ, the total sAPP was loaded onto a Sepharose 4B immunoaffinity adsorption column containing a monoclonal antibody that recognizes an epitope within the first ˜17 amino acids of Aβ (for example, monoclonal antibody 6E10). Specifically bound α-sAPP was eluted from the column with 0.1M sodium citrate, pH 3.0. The solution pH of the purified sAPPs was adjusted to 7.2 and 1-ml aliquots were stored at -70° C.

B. Quantitation of Total sAPP

The ELISA used to quantitate total sAPP levels in CSF samples employed a monoclonal antibody, such as P2-1, discussed above, that specifically recognizes an amino-terminal epitope of human APP as the capture antibody. The capture antibody was attached to the wells of a 96-well microtiter plate by incubating the plate with the antibody (that had been diluted in PBS, pH 7.2) for 60 min at 37° C. The plates were then washed three times with 0.3 ml of 0.1% Tween-20 in PBS. The wells were also incubated with a solution of 0.5% casein in PBS (150 μl/well) for 30 min. at 37° C.

CSF samples (100 μl diluted 1:20) or sAPP standards (100 μl) containing a range of 5 to 50 ng/ml were added to the wells and allowed to incubate for 60 min at 37° C. Following incubation, the wells were washed thoroughly with 0.1% Tween-20 in PBS. A goat anti-human APP polyclonal antibody raised against immunopurified APP from medium conditioned by cultured IMR32 human neuroblastoma cells (American Type Culture Collection Accession No. 127) conjugated to horseradish peroxidase was used as the signal antibody. The antibody was diluted 1:500 in PBS and 10% normal goat serum, pH 7.2, containing 0.1% Tween-20, added to the wells, and incubated for 60 min at 37° C. Unbound antibody was removed by washing as described above. To detect the bound antibody, 0.1 ml of the chromogenic substrate K-Blue Solution (Elisa Technologies, Lexington Ky.) was added to the wells and allowed to incubate for 15 min at ambient temperature. Reactions were stopped by addition of 0.1 ml of a 9.8% solution of phosphoric acid. The optical density of the samples was measured by spectrophotometry at 450 nm. The concentration of sAPP peptides in the CSF sample was estimated from the standard curve. Samples were analyzed in duplicate.

Total sAPP levels were also measured using quantitative immunoblotting essentially as described below for measurement of α-sAPP, except using a monoclonal antibody raised against a recombinant APP-containing fusion protein (e.g., 22C11 available from Boehringer Mannheim, Indianapolis, Ind.) at a concentration of 0.3 μg/ml to specifically detect sAPP and using purified sAPP as a standard. Quantification of total sAPP by quantitative immunoblot gave a 95% correlation to quantification by ELISA.

C. Quantitation of α-sAPP

For immunoblot assays of α-sAPP contained in the CSF samples, 5-10 μl of sample and purified standard α-sAPP of known concentrations were analyzed by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) under reducing conditions. Samples were diluted into Laemmli sample buffer and loaded onto 7.5% SDS-PAGE gel. After separation, the proteins were transferred to polyvinylidene difluoride membranes (PVDF Immobilon, Millipore, Bedford, Mass.) in CAPS transfer buffer (5 mM 3- cyclohexylamine!-1-propanesulfonic acid, pH 11.0, 5% (v/v) methanol). Nonspecific binding of protein to membranes was blocked with PBS containing 5% (w/v) non-fat dried milk and then incubated for 1 hr with a monoclonal antibody (20 ml of 0.2 μg/ml) directed against the amino-terminus of Aβ (e.g., 6E10), and washed three times for one min each time in 20 ml of PBS and 0.1% Tween. Specifically bound antibody was detected using a biotinylated goat anti-mouse secondary antibody (Sigma) and a streptavidin-peroxidase conjugate (Amersham, Arlington Heights, Ill.) in combination with an enhanced chemiluminescence detection system (Amersham, Arlington Heights, Ill.). The blots were exposed to Kodak Scientific Imaging film X-OMAT AR and developed using a Kodak X-OMAT developer. Quantitation of the α-sAPP protein in the blots was performed by laser-scanning densitometry. Developed films within the linear range (or multiple exposures) were scanned at 50 μM pixel size using a densitometer (Molecular Dynamics, Sunnyvale, Calif.), and the data were quantified using the ImageQuaNT software system (Molecular Dynamics). Quantified volumes of α-sAPP standard were used to generate standard curves. From the standard curves, the levels of α-sAPP in ng/ml were determined.

D. Comparison of sAPP and α-sAPP Levels in CSF of Normal Subjects and Mutation Carriers

Assays of sAPP and α-sAPP levels in CSF from normal subjects and Swedish mutation carriers were performed. Mann-Whitney non-parametric statistics were used for comparison of the data from the experimental groups. Correlations were investigated with Pearson's and Spearman's rank correlation coefficients. Significance levels were set at p<0.05. The CSF of diseased carriers had lower levels of α-sAPP than the CSF samples of non-carriers, with no overlap between the two groups (z=-2.72; p=0.007). The CSF obtained from the four AD subjects had lower levels of α-sAPP than that of the two pre-symptomatic AD carriers. There was a strong inverse correlation between α-sAPP concentration and age in the mutation carriers (R=0.94; p=0.005). In the mutation carriers, ˜25% of the total sAPP in CSF was α-sAPP compared to 33% in CSF of non-carriers. This was a statistically significant difference.

The results indicate that α-sAPP and the ratio of α-sAPP to total sAPP in CSF are useful markers in the detection of neurodegenerative disorders characterized by cerebral deposition of amyloid (e.g., AD) and in monitoring the progression of such disease. Furthermore, this assay system can be used in monitoring therapeutic intervention of these diseases.

Since modifications will be apparent to those of skill in this art, it is intended that this invention be limited only by the scope of the appended claims. 

We claim:
 1. A method of modulating the processing of amyloid precursor protein (APP), comprising contacting a composition containing APP under conditions in which APP is processed with a compound of formula (I), (II) or (III): ##STR8## or a hydrate, isostere, stereoisomer or mixture thereof, or a pharmaceutically acceptable salt thereof, wherein,X has the formula: ##STR9## in which A and B are each independently selected from the group consisting of H, halogen, alkyl, heterocyclyl, arylalkyl, haloalkyl, in which the alkyl groups are straight or branched chains or form a ring or fused rings, alkylhaloaryl, (CH₂)_(r) CHN₂, CH₂ (CH₂)_(r) OR_(D), CH₂ (CH₂)_(r) OZ_(D), --(CH₂)_(r+1) W and --(CH₂)_(r+1) U; r is 0-5; the alkyl, aryl, carbocyclic and heterocyclic portions of X are unsubstituted or are substituted with one or more substituents independently selected from G; G is halogen, lower alkyl, alkoxy, OH, haloalkyl, NO₂, nitrile, S-alkyl, phenyl, or --NRR; R is H, alkyl, OH or halo-lower alkyl; the heterocyclic rings contain one or two heteroatoms; Z_(D) is haloalkyl, in which the alkyl portion is straight, branched or cyclic, or mixtures thereof; U is --OR_(D) or --NR_(D) R_(D) ; R_(D) is selected from among H, alkyl, and aryl; W is --OR_(D), --SR_(D), --NR_(D) R_(D) or a heterocyclic moiety containing one ring or fused rings, in which the heteroatoms are selected from O, S and N; R₁, R₂, R₃, R₄, R₅, R₆, R₇, R₈, R_(A), R_(B), Q and n are selected from among (i), (ii), (iii), (iv), (v), (vi), (vii) or (viii) as follows: (i) R₁, R₃, R₅, and R_(B) are each independently selected from the group consisting of a side chain of a naturally occurring α-amino acid, H, alkyl, alkenyl, alkynyl, aryl, aralkyl, aralkenyl, aralkynyl, heteroaryl, heteroaralkyl, heteroaralkenyl, Y-substituted aryl, aralkyl, aralkenyl, aralkynyl, and Z-substituted heteroaryl, heteroaralkyl, heteroaralkenyl, in which Y is selected from the group consisting of halogen, lower alkyl, alkoxy, OH, haloalkyl, nitrile, S-alkyl, phenyl, and --NRR, R is H, alkyl, lower alkyl, OH or halo-lower alkyl, Z is lower alkyl or halo lower alkyl; R₂, R₄, R₆, and R₈ are each independently selected from H and lower alkyl; R₇ is selected from the group consisting of C₁₋₆ alkyl, aryl, alkenyl, 9-fluorenyl, aralkyl, aralkenyl and aralkynyl in which the aryl groups are unsubstituted or are substituted with Z; Q is selected from the group consisting of --C(O)--, --O--C(O)--, --S(O)₂ -- and --HN--C(O)--; n is zero or one; R_(A) is --(T)_(m) --(D)_(m) --R₁ in which T is O or NH, D is C₁₋₄ alkyl or C₂₋₄ alkenyl and m is zero or one; or (ii) R₁, R₂, R₃, R₄, R₅, R₈, R_(A), Y and R_(B) are selected as in (i), (iv) or (v); n is zero; and R₆ and R₇ are each independently selected as follows:(a) from lower alkyl or lower alkyl linked to a heteroatom, with the proviso that there is at least one carbon atom between the N to which R₆ and R₇ are each attached and the heteroatom, and (b) R₆ and R₇ are unsubstituted or substituted with one or more substituents selected from Y, and (c) together with the atoms to which each is attached form a heterocyclic moiety; or (iii) R₁, R₂, R₃, R₄, R₅, R₈, Y, R_(A) and R_(B) are selected as in (i); Q is --C(O)--; n is one; and R₆ and R₇ are each independently selected as follows:(a) from carbonyl (C═O), phenyl, a heteroatom, lower alkyl, lower alkyl linked to a heteroatom, and (b) each is unsubstituted or substituted with Y, and (c) together with the atoms to which they are attached form a 4-6 membered cyclic or 8-12 membered bicyclic moiety, and (d) R₆ and R₇ are selected with the proviso that when two or more heteroatoms are present there is a carbon atom between the heteroatoms; or (iv) R₃, R₄, R₅, R₆, R₇, R_(A), R_(B), Y, Q, and n are as defined in any of (i)-(iii) or (v)-(viii), R₈ is H; and R₁ and R₂ are each independently selected as follows:(a) from lower alkyl, lower alkyl linked to a heteroatom, or a heteroatom, with the proviso when more than one heteroatom is present, there is at least one carbon atom between each heteroatom, and (b) R₁ and R₂ are unsubstituted or substituted with Y, and (c) together with the atoms to which they are attached form a 4-6 membered heterocyclic moiety; or (v) R₁, R₂, R₅, R₆, R₇, R₈, R_(A), R_(B), Y, Q and n are as defined in any of (i)-(iv) or (vi)-(viii); R₃ and R₄ are each independently selected as follows:(a) from lower alkyl, lower alkyl linked to a heteroatom, or a heteroatom, with the proviso when more than one heteroatom is present, there is at least one carbon atom between each heteroatom, and (b) R₃ and R₄ are unsubstituted or substituted with Y, and (c) together with the atoms to which they are attached form a 4-6 membered heterocyclic moiety; or (vi) R₁, R₂, R₃, R₄, R₇, R₈, R_(A), R_(B), Y, Q and n are as defined in any of (i), (iv) or (v); R₅ and R₆ are each independently selected as follows:(a) from lower alkyl, lower alkyl linked to a heteroatom, or a heteroatom, with the proviso when more than one heteroatom is present, there is at least one carbon atom between each heteroatom, and (b) R₅ and R₆ are unsubstituted or substituted with Y, and (c) together with the atoms to which they are attached form a 4-6 membered heterocyclic moiety; or (vii) R₁, R₂, R₃, R₄, R₆, R₈, Y, R_(A) and R_(B) are selected as in (i) (iv) or (v); n is zero; and R₅ and R₇ are each independently selected as follows:(a) from lower alkyl, lower alkyl linked to a heteroatom, or a heteroatom, with the proviso when more than one heteroatom is present, there is at least one carbon atom between each heteroatom, and (b) R₅ and R₇ are unsubstituted or substituted with Y, and (c) together with the atoms to which they are attached form a 4-6 membered heterocyclic moiety; or (viii) R₁, R₂, R₃, R₄, R₅, R₈, R_(A) and R_(B) are selected as in (i), (iv) or (v); n is 0; and R₆ and R₇, which are defined as in (ii), together with the atoms to which each is attached form a bicyclic or cyclic moiety containing from 1 to about 12 members, whereby the processing of APP is altered.
 2. The method of claim 1, wherein:R₁ is a straight or branched carbon chain containing 2 to 6 carbons and one unsaturated bond; R₂, R₄, and R₈ are each independently H, methyl or ethyl; R₃ is iso-butyl, benzyl or phenyl; R₅ is C₁₋₄ alkyl; R₆ is H or C₁₋₄ alkyl; R₇ --(Q)_(n) is acetyl or benzyloxycarbonyl (Cbz); Q is --C(O)-- or --O--C(O)--; R_(B) is C₁₋₄ alkyl or C₂₋₄ alkenyl; R_(A) is --(T)_(m) --(D)_(m) --R₁, in which T is oxygen or carbon, and D is C₂₋₄ alkenyl; and X, taken together with the carbon atom to which it is bonded, forms a secondary alcohol.
 3. The method of claim 1, wherein:R₁, R₂, R₃, R₄, R₅, R₆, R₇, R₈, R_(A), R_(B), Q and n are selected from among (i), (ii), (iii), (iv), (v), (vi), (vii) or (viii) as follows: (i) R₁ is a straight or branched chain carbon chain containing 2 to 6 carbons and one unsaturated a double bond, or is cyclic moiety containing from 5 to 6 members; R₂, R₄, and R₈ are each independently selected from methyl, ethyl or propyl; R₃ is selected from the group consisting of C₁₋₄ alkyl, phenyl, naphthyl, hydroxyphenyl, 1-aminobutyl, acetamide and iso-butyl; R₅ is C₁₋₄ alkyl; R₆ is H or C₁₋₄ alkyl; R₇ --(Q)_(n) is selected from the group consisting of acetyl, benzyloxycarbonyl (Cbz), 9-fluorenylmethylcarbonate (Fmoc), BOC and tosyl; Q is --C(O)--, --S(O)₂ -- or --O--C(O)--; R_(B) is C₁₋₄ alkyl or C₂₋₄ alkenyl; R_(A) is --(T)_(m) --(D)_(m) --R₁, in which T is oxygen, carbon, or nitrogen, and D is C₁₋₄ alkyl or C₂₋₄ alkenyl; or (ii) R₁, R₂, R₃, R₄, R₅, R₈, R_(A) and R_(B) are selected as in (i), (iv) or (v); n is zero; and R₆ and R₇ together with the atoms to which each is attached form a moiety selected from the group consisting of morpholino, thiomorpholino, pyrrolidinyl, and 4-hydroxypyrrolidinyl; or (iii) R₁, R₂, R₃, R₄, R₅, R₈, R_(A) and R_(B) are selected as in (i); Q is --C(O)--; n is one; and R₆ and R₇ together with the atoms to which each is attached form succinimidyl, phthalimidyl or maleimidyl; or (iv) R₃, R₄, R₅, R₆, R₇, R_(A), R_(B), Q and n are as defined in any of (i)-(iii) or (v)-(viii), R₈ is H; and R₁ and R₂ together with the atoms to which each is attached form a moiety selected from the group consisting of morpholino, thiomorpholino, pyrrolidinyl, and 4-hydroxypyrrolidinyl; or (v) R₁, R₂, R₅, R₆, R₇, R₈, R_(A), R_(B), Q and n are as defined in any of (i)-(iv) or (vi)-(viii); R₃ and R₄ together with the atoms to which each is attached form a moiety selected from the group consisting of morpholino, thiomorpholino, pyrrolidinyl, and 4-hydroxypyrrolidinyl; or (vi) R₁, R₂, R₃, R₄, R₇, R₈, R_(A), R_(B), Q and n are as defined in any of (i), (iv) or (v); R₅ and R₆ together with the atoms to which each is attached form a moiety selected from the group consisting of morpholino, thiomorpholino, pyrrolidinyl, and 4-hydroxypyrrolidinyl; or (vii) R₁, R₂, R₃, R₄, R₆, R₈, R_(A) and R_(B) are selected as in (i) (iv) or (v); n is zero; and R₅ and R₇ together with the atoms to which each is attached form a moiety selected from the group consisting of morpholino, thiomorpholino, pyrrolidinyl, and 4-hydroxypyrrolidinyl; or (viii) R₁, R₂, R₃, R₄, R₅, R₈, R_(A) and R_(B) are selected as in (i), (iv) or (v); n is zero; R₆ and R₇ together with the atoms to which each is attached form 1 2,3,4-tetrahydroisoquinolinyl.
 4. The method of claim 1, wherein at least one of R₁, R₃, and R₅ are selected from the group consisting of C₂₋₆ alkenyl and C₂₋₆ alkynyl.
 5. The method of claim 1, wherein the compound is of formula II.
 6. The method of claim 1, whereby formation of Aβ is decreased compared to the amount formed in the absence of the compound.
 7. The method of claim 1, whereby formation of α-sAPP relative to samples lacking the compound is increased compared to the amount formed in the absence of the compound.
 8. The method of claim 1, wherein the composition is a body fluid.
 9. The method of claim 8, wherein the body fluid is cerebral spinal fluid.
 10. The method of claim 1, wherein the modulation is effected by modulation of the activity of a protease selected from the group consisting of cysteinyl, serine and aspartyl proteases.
 11. The method of claim 10, wherein the protease is an aspartyl protease.
 12. The method of claim 10, wherein the protease is a cysteinyl protease.
 13. The method of claim 10, wherein the protease is a serine protease.
 14. The method of claim 1, wherein the composition is cerebral spinal fluid.
 15. The method of claim 11, wherein X, taken together with the carbon atom to which it is bonded, forms a secondary trifluoromethyl or pentafluoroethyl alcohol.
 16. The method of claim 12, wherein X, taken together with the carbon atom to which it is bonded, forms a secondary trifluoromethyl or pentafluoroethyl alcohol.
 17. The method of claim 1, wherein the compound is selected from (2SR)-N-Cbz-L-Leu-L-Leu N- 2-(4-methyl-4-pentenol)!amide, (1SR)-(2S)-N-Cbz-L-Leu-L-Leu N- 2-(thiazole-hexanol)!amide, (2SR)-(3SR)-3-amino-1,1,1-trifluoro-2-heptanol, (2SR)-(3SR)-N-Ac-L-Leu-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide, (2SR)-(3SR)-N-Cbz-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide, (2SR)-(3SR)-N-valeroyl-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide, (SR)-N-Cbz-L-Leu-L-Leu N- 2-(phenylhexanol)!amide, (2SR)-(3S)-N-Cbz-L-Leu N- 3-(1,1,1-trifluoro-2-butanol)!amide, (3SR)-(4S)-N-Cbz-L-Leu-L-Leu N- 4-(ethyl 2,2-difluoro-3-hydroxyoctanoate)!amide, (4S)-(3SR)-N-Cbz-L-Leu-L-Leu N- 4-(1,1,1-trifluoro-2,2-difluoro-3-octanol)!amide, (3SR)-(4S)-N-Cbz-L-Leu-L-Leu N- 4-(1,1,1-trifluoro-2,2-difluoro-3-methyl-3-octanol)!amide, (2SR)-(3SR)-N-Cbz-L-Leu-L-Leu N- 3-(1,1,1-trifluoro-2-methyl-2-heptanol)!amide, (2SR)-(3S)-N-Cbz-L-Leu-L-Leu N- 3-(1-(1'-phenyl-3'(trifluoromethyl)pyrazoloxy)-2-heptanol)!amide, (2SR)-H-L-Leu N- 2-(ethyl 4-methyl-4-pentenoate)!amide hydrochloride, (2SR)-N- (2S)-2-benzoxy-4-methylpentanoyl!-L-Leu N- 2-(4-methyl-4-pentenol)!amide, (2SR)-(3S)-N-Cbz-L-Leu-Leu N- 3-(2-hydroxy-heptanoic acid)!amide, (2SR)-(3S)-N-Cbz-L-Leu-L-Leu N- 3-(methyl 2-hydroxy-heptanoate)!amide, (2SR)-(3S)-N-Cbz-L-Leu-L-Leu N- 3-(benzyl 2-hydroxy-heptamide)!amide, (3SR)-(4S)-N-Cbz-L-Leu-L-Leu N- 4-(benzyl 3-hydroxy-octamide)!amide, (2SR)-(3S)-N-Cbz-L-Leu-L-Leu N- 3-(1-furfylthio-2-heptanol)!amide, (2SR)-N- (2R)- 2-(1'-phenyl-1'-propene)-4-methylpentanoyl!!-L-Leu N- 2-(4-methyl-4-pentenol)!amide, (2SR)-N-Ac-L-Leu-L-Leu N 2-(trans-4-hexanol)!amide, (2SR)-N-Ac-L-Leu-L-Leu N- 2-(4-methyl-4-pentenol)!amide, (2SR)-N-Ac-L-Leu-L-Leu N- 2-(4-methyl-4-pentenol)!amide, N-dansyl-L-Leu-L-Leu-DL-norleucinol and N-Ac-L-Phe-L-Leu-DL-norleucinol.
 18. The method of claim 1, wherein the compound is seleted from (2SR)-(3SR)-N-Ac-L-Leu-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide, (2SR)-(3SR)-N-Cbz-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide and (2SR)-(3SR)-N-valeroyl-L-Leu N- 3-(1,1,1-trifluoro-2-heptanol)!amide.
 19. The method of claim 1 wherein the compound is (2S)-(3S)-N-Cbz-L-Leu-N- 3-(1,1,1-trifluoro-2-heptanol)!amide.
 20. The method of claim 1 wherein the compound is (2S)-(3R)-N-Cbz-L-Leu-N- 3-(1,1,1-trifluoro-2-heptanol)!amide.
 21. The method of claim 1 wherein the compound is (2R)-(3S)-N-Cbz-L-Leu-N- 3-(1,1,1-trifluoro-2-heptanol)!amide.
 22. The method of claim 1 wherein the compound is (2R)-(3R)-N-Cbz-L-Leu-N- 3-(1,1,1-trifluoro-2-heptanol)!amide.
 23. The method of claim 1, wherein the compound is selected from the group consisting of (2SR)-(3SR)-N-Cbz-L-Leu- 3-(1,1,1-trifluoro-2-heptanol)!amide, (2SR)-(3S)-N-Cbz-L-Leu-N- 3-(1,1,1-trifluoro-2-butanol)!amide, (2SR)-(3SR)-N-valeroyl-L-Leu- 3-(1,1,1-trifluoro-2-heptanol)!amide, (2SR)-(3SR)-N-Cbz-L-Leu-L-Leu- 3-(1,1,1-trifluoro-2-heptanol)!amide and (2SR)-(3SR)-N-Ac-L-Leu-L-Leu- 3-(1,1,1-trifluoro-2-heptanol)!amide.
 24. The method of claim 1, wherein the compound is selected from the group consisting of (2SR)-(3SR)-N-Cbz-L-Leu- 3-(1,1,1-trifluoro-2-heptanol)!amide, (2SR)-(3S)-N-Cbz-L-Leu-N- 3-(1,1,1-trifluoro-2-butanol)!amide and (2SR)-(3SR)-N-valeroyl-L-Leu- 3-(1,1,1-trifluoro-2-heptanol)!amide.
 25. The method of claim 1, wherein he compound is selected from the group consisting of (2SR)-(3SR)-N-Cbz-L-Leu-N- 3-(1,1,1-trifluoro-2-heptanol)!amide and (2SR)-(3SR)-N-valeroyl-L-Leu-N- 3-(1,1,1-trifluoro-2-heptanol)!amide.
 26. The method of claim 1 wherein the compound is a mixture of diastereomers, comprising (2SR)-(3SR)-N-Cbz-L-Leu-N- 3-(1,1,1-trifluoro-2-heptanol)!amide.
 27. A method of modulating the processing of amyloid precursor protein (APP), comprising contacting a composition containing APP under conditions in which APP is processed with a compound of formula (I), (II) or (III): ##STR10## or a hydrate, isostere, stereoisomer or mixture thereof, or a pharmaceutically acceptable salt thereof, wherein X is selected from the group consisting of --(CH₂)_(r) CH(OH)C_(k) H.sub.(2k+1-s) F_(s) in which k is 1-6 and s is 0 to 2k+1, --CH(OH)C₆ H.sub.(5-q) F_(q) in which q is 0 to 5, --(CH₂)_(r) CH(OH)CF₃, --(CH₂)_(r) CH(OH)C₂ F₅, --(CH₂)_(r) CH₂ OH, --(CH₂)_(r) CH(OH)haloalkyl, --(CH₂)_(r) CH(OH)(CH₂)_(r) CHN₂, --(CH₂)_(r) CH(OH)(CH₂)_(r) U, (CH₂)_(r) CH(OH)CH₂ W and --C(halo)₂ aryl;r is 0-5; the alkyl, aryl, carbocyclic and heterocyclic portions of X are unsubstituted or are substituted with one or more substituents independently selected from G; G is halogen, lower alkyl, alkoxy, OH, haloalkyl, NO₂, nitrile, S-alkyl, phenyl, or --NRR; R is H, alkyl, OH or halo-lower alkyl; the heterocyclic rings contain one or two heteroatoms; Z_(D) is haloalkyl, in which the alkyl portion is straight, branched or cyclic, or mixtures thereof; U is --OR_(D) or --NR_(D) R_(D) ; R_(D) is selected from among H, alkyl and aryl; W is --OR_(D), --SR_(D), --NR_(D) R_(D) or a heterocyclic moiety containing one ring or fused rings, in which the heteroatoms are selected from O, S and N; R₁, R₂, R₃, R₄, R₅, R₆, R₇, R₈, R_(A), R_(B), Q and n are selected from among (i), (ii), (iii), (iv), (v), (vi), (vii) or (viii) as follows: (i) R₁, R₃, R₅, and R_(B) are each independently selected from the group consisting of a side chain of a naturally occurring α-amino acid, H, alkyl, alkenyl, alkynyl, aryl, aralkyl, aralkenyl, aralkynyl, heteroaryl, heteroaralkyl, heteroaralkenyl, Y-substituted aryl, aralkyl, aralkenyl, aralkynyl, and Z-substituted heteroaryl, heteroaralkyl, heteroaralkenyl, in which Y is selected from the group consisting of halogen, lower alkyl, alkoxy, OH, haloalkyl, nitrile, S-alkyl, phenyl, and --NRR, R is H, alkyl, lower alkyl, OH or halo-lower alkyl, Z is lower alkyl or halo lower alkyl; R₂, R₄, R₆ and R₈ are each independently selected from H and lower alkyl; R₇ is selected from the group consisting of C₁₋₆ alkyl, aryl, alkenyl, 9-fluorenyl, aralkyl, aralkenyl and aralkynyl in which the aryl groups are unsubstituted or are substituted with Z; Q is selected from the group consisting of --C(O)--, --O--C(O)--, --S(O)₂ -- and --HN--C(O)--; n is zero or one; R_(A) is --(T)_(m) --(D)_(m) --R₁ in which T is O or NH, D is C₁₋₄ alkyl or C₂₋₄ alkenyl and m is zero or one; or (ii) R₁, R₂, R₃, R₄, R₅, R₈, R_(A), Y and R_(B) are selected as in (i), (iv) or (v); n is zero; and R₆ and R₇ are each independently selected as follows:(a) from lower alkyl or lower alkyl linked to a heteroatom, with the proviso that there is at least one carbon atom between the N to which R₆ and R₇ are each attached and the heteroatom, and (b) R₆ and R₇ are unsubstituted or substituted with one or more substituents selected from Y, and (c) together with the atoms to which each is attached form a heterocyclic moiety; or (iii) R₁, R₂, R₃, R₄, R₅, R₈, Y, R_(A) and R_(B) are selected as in (i); Q is --C(O)--; n is one; and R₆ and R₇ are each independently selected as follows:(a) from carbonyl (C═O), phenyl, a heteroatom, lower alkyl, lower alkyl linked to a heteroatom, and (b) each is unsubstituted or substituted with Y, and (c) together with the atoms to which they are attached form a 4-6 membered cyclic or 8-12 membered bicyclic moiety, and d) R₆ and R₇ are selected with the proviso that when two or more heteroatoms are present there is a carbon atom between the heteroatoms; or (iv) R₃, R₄, R₅, R₆, R₇, R_(A), R_(B), Y, Q, and n are as defined in any of (i)-(iii) or (v)-(viii), R₈ is H; and R₁ and R₂ are each independently selected as follows:(a) from lower alkyl, lower alkyl linked to a heteroatom, or a heteroatom, with the proviso when more than one heteroatom is present, there is at least one carbon atom between each heteroatom, and (b) R₁ and R₂ are unsubstituted or substituted with Y, and (c) together with the atoms to which they are attached form a 4-6 membered heterocyclic moiety; or (v) R₁, R₂, R₅, R₆, R₇, R₈, R_(A), R_(B), Y, Q and n are as defined in any of (i)-(iv) or (vi)-(viii); R₃ and R₄ are each independently selected as follows:(a) from lower alkyl, lower alkyl linked to a heteroatom, or a heteroatom, with the proviso when more than one heteroatom is present, there is at least one carbon atom between each heteroatom, and (b) R₃ and R₄ are unsubstituted or substituted with Y, and (c) together with the atoms to which they are attached form a 4-6 membered heterocyclic moiety; or (vi) R₁, R₂, R₃, R₄, R₇, R₈, R_(A), R_(B), Y, Q and n are as defined in any of (i), (iv) or (v); R₅ and R₆ are each independently selected as follows:(a) from lower alkyl, lower alkyl linked to a heteroatom, or a heteroatom, with the proviso when more than one heteroatom is present, there is at least one carbon atom between each heteroatom, and (b) R₅ and R₆ are unsubstituted or substituted with Y, and (c) together with the atoms to which they are attached form a 4-6 membered heterocyclic moiety; or (vii) R₁, R₂, R₃, R₄, R₆, R₈, Y, R_(A) and R_(B) are selected as in (i) (iv) or (v); n is zero; and R₅ and R₇ are each independently selected as follows:(a) from lower alkyl, lower alkyl linked to a heteroatom, or a heteroatom, with the proviso when more than one heteroatom is present, there is at least one carbon atom between each heteroatom, and (b) R₅ and R₇ are unsubstituted or substituted with Y, and (c) together with the atoms to which they are attached form a 4-6 membered heterocyclic moiety; or (viii) R₁, R₂, R₃, R₄, R₅, R₈, R_(A) and R_(B) are selected as in (i), (iv) or (v); n is 0; and R₆ and R₇, which are defined as in (ii), together with the atoms to which each is attached form a bicyclic or cyclic moiety containing from 1 to about 12 members, whereby the processing of APP is altered.
 28. The method of claim 12, wherein:R₁ is a straight or branched carbon chain containing 2 to 6 carbons and one unsaturated bond; R₂, R₄, and R₈ are each independently H, methyl or ethyl; R₃ is iso-butyl, benzyl or phenyl; R₅ is C₁₋₄ alkyl; R₆ is H or C₁₋₄ alkyl; R₇ --(Q)_(n) is acetyl or benzyloxycarbonyl (Cbz); Q is --C(O)-- or --O--C(O)--; R_(B) is C₁₋₄ alkyl or C₂₋₄ alkenyl; R_(A) is --(T)_(m) --(D)_(m) --R₁, in which T is oxygen or carbon, and D is C₂₋₄ alkenyl; and X is selected from --(CH₂)_(r) CH(OH)C_(k) H.sub.(2k+1-s) F_(s) in which k is 1-6 and s is 0 to 2k+1, --CH(OH)C₆ H.sub.(5-q) F_(q) in which q is 0 to 5, --(CH₂)_(r) CH(OH)CF₃, --(CH₂)_(r) CH(OH)C₂ F₅, --(CH₂)_(r) CH₂ OH, --(CH₂)_(r) CH(OH)haloalkyl, --(CH₂)_(r) CH(OH)(CH₂)_(r) CHN₂, --(CH₂)_(r) CH(OH)(CH₂)_(r) U, --(CH₂)_(r) CH(OH)CH₂ W and --C(halo)₂ aryl.
 29. The method of claim 28, wherein R₁ is selected from the group consisting of 2-methylpropenyl, 2-butenyl, cyclohexyl and cyclohexylmethyl.
 30. The method of claim 27, wherein X is --CH(OH)CF₃, --CH(OH)C₂ F₅, --(CH₂)_(r) CH(OH)C_(k) H.sub.(2k+1-s) F_(s) in which k is 1-6 and s is 0 to 2k+1, or --CH(OH)C₆ H.sub.(5-q) F_(q) in which q is 0 to 5;the carbon or heterocyclic ring(s) contain from 5-7 members in the ring(s); r is 0 to 3; and all alkyl groups contain from 1 to 6 carbon atoms.
 31. The method of claim 27, wherein:R₁ is selected from the group consisting of n-butyl, 2-methylpropenyl and 2-butenyl; R₂, R₄, R₆ and R₈ are each independently selected from the group consisting of hydrogen, methyl and ethyl; R₃ is iso-butyl; and X is selected from the group consisting of --(CH₂)_(r) CH(OH)CF₃, --(CH₂)_(r) CH(OH)C_(k) H.sub.(2k+1-s) F_(s) and --CH(OH)CF₃. 